ABSTRACT
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Subject(s)
Humans , Male , Female , Infant , Thoracoscopy/methods , Lung Abscess/surgery , Fever/etiology , Cough/etiologySubject(s)
Lung Abscess/surgery , Thoracoscopy , Anti-Bacterial Agents/therapeutic use , Bronchial Fistula/diagnostic imaging , Bronchial Fistula/etiology , Cefotaxime/therapeutic use , Chest Tubes/adverse effects , Combined Modality Therapy , Debridement , Drainage , Drug Therapy, Combination , Empyema, Pleural/etiology , Empyema, Pleural/surgery , Equipment Failure , Female , Humans , Infant , Lung Abscess/complications , Lung Abscess/diagnostic imaging , Lung Abscess/drug therapy , Male , Necrosis , Pleural Diseases/diagnostic imaging , Pleural Diseases/etiology , Pneumonia, Bacterial/complications , Pneumonia, Bacterial/drug therapy , Pneumothorax/etiology , Postoperative Complications/etiology , Radiography , Respiratory Tract Fistula/diagnostic imaging , Respiratory Tract Fistula/etiology , Therapeutic Irrigation , Vancomycin/therapeutic useABSTRACT
BACKGROUND: Abdominal actinomycosis is a rare infection with a difficult diagnosis that can simulate multiple surgical scenarios such as neoplasms or complications of inflammatory bowel disease. CLINICAL CASE: We present the case of a 69-year-old female who underwent emergency surgery due to a difficult and painful tumor, suggesting an incarcerated umbilical hernia. Whitish lesions were discovered in the abdominal wall and a stenotic colonic mass was managed similar to a neoplasm. Anatomopathological study showed abdominal actinomycosis, requiring a lengthy course with penicillin. CONCLUSION: Actinomycosis infection is a chronic disease with granulomatous lesions and areas of fibrosis. Its incidence is increasing and the location usually is cervicofacial. The great challenge of this pathology lies in the diagnosis because it simulates different diseases of diverse natures. This type of infection can be treated successfully with drugs if the etiology is identified in a timely manner. However, in the case of our patient, the manner of presentation made diagnosis more difficult prior to surgical trauma.
Subject(s)
Actinomycosis/complications , Colonic Diseases/complications , Hernia, Umbilical/complications , Actinomycosis/diagnosis , Actinomycosis/drug therapy , Actinomycosis/surgery , Aged , Amoxicillin/therapeutic use , Anti-Bacterial Agents/therapeutic use , Colectomy , Colonic Diseases/diagnosis , Colonic Diseases/drug therapy , Colonic Diseases/surgery , Colonic Neoplasms/diagnosis , Combined Modality Therapy , Diabetes Mellitus, Type 2/complications , Diagnosis, Differential , Emergencies , Female , Hernia, Umbilical/surgery , Humans , Omentum/pathologyABSTRACT
Los quistes paratubáricos son de diagnóstico excepcional en la edad pediátrica. Presentamos el caso de una niña de 12 años con dolor abdominal intermitente de 2 años de evolución a la que se le detectó por pruebas de imagen una masa quística y homogénea en pelvis compatible con quiste paratubárico. Tras completar el estudio diagnóstico se llevó a cabo la quistectomía laparoscópica con bisturí armónico. La resección quirúrgica es el tratamiento de elección, siendo el abordaje laparoscópico la primera opción en la actualidad (AU)
Diagnosis of paratubal cysts in children is exceptional. We present the case of a 12-year-old girl with a 2-year history of intermittent abdominal pain. Imaging studies revealed a homogeneous cystic mass in the pelvis compatible with a paratubal cyst. After completing the diagnostic workup, laparoscopic cystectomy was performed by harmonic scalpel. Surgical resection is the treatment of choice in this entity, the laparoscopic approach currently being the first option (AU)
