Abstract
Actinomycosis of the gall bladder, cholecystic duct or common bile duct is rare, with only 16 cases reported to our knowledge. We report a case of actinomycosis in the cholecystic duct remnant of an 80-year-old woman with a history of cholecystitis, choledocholithiasis and cholecystoduodenal fistula requiring cholecystectomy and fistula closure three years prior. Histologic sections of the cystic duct remnant showed several dense basophilic masses containing numerous, dark blue, Gram-positive branching bacilli compatible with actinomycotic granules. Fluorescent antibody staining was positive for Actinomyces naeslundii. Staining for acid-fast bacilli was negative. The pathogenesis, presentation, diagnosis and management of abdominal actinomycosis with specific reference to disease involving the gall bladder are discussed.
References
Nov 1, 1987·The Journal of Infection·C FrelandH B Drugeon
Oct 20, 1973·British Medical Journal
Sep 1, 1982·British Journal of Obstetrics and Gynaecology·H L DuguidR Duguid
Aug 1, 1980·Southern Medical Journal·J H Brewer, M J Allen
Oct 1, 1993·AJR. American Journal of Roentgenology·H K HaK S Shinn
Citations
Jul 19, 2011·Journal of Gastrointestinal Cancer·Meghana BansalRangaswamy Govindarajan
May 4, 2000·Oral Oncology·M M CuriC Mangini
Sep 1, 1999·European Journal of Clinical Investigation·M IurlaroL Selvaggi
Mar 16, 2002·European Journal of Clinical Investigation·R RiaL Selvaggi
Jun 3, 2009·Surgical Infections·Doruk OzgedizCarlos U Corvera
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Kyoung Hoon LimJi Yun Jeong
Apr 20, 2005·Journal of Gastroenterology and Hepatology·Branka FilipovićTomislav Ranthelović
Jan 5, 2002·Journal of Clinical Microbiology·Patrick C Y WooKwok-Yung Yuen
Sep 10, 2011·Infectious Diseases in Obstetrics and Gynecology·Teresa PusiolFrancesco Ricci
May 30, 2014·BMJ Case Reports·Narendranath GovindarajahMichael Booth
Jan 26, 2008·The Kaohsiung Journal of Medical Sciences·Hsi-Lin HsiaoChun-Hsiung Huang
Jul 19, 2005·Asian Journal of Surgery·Ashraf F HefnyFikri M Abu-Zidan
Sep 15, 2006·La Revue de médecine interne·H MnifT Sellami Boudawara
Oct 5, 2010·La Revue de médecine interne·S KetataN Boujaafar
Apr 22, 2015·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Kyung Hoon KimIn Kyu Lee
Jan 1, 2008·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Francisco AcevedoPablo Gaete
Oct 6, 2010·Journal of Pediatric Surgery·Verena LiuFrancesca Velcek
Apr 11, 2007·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Young Han LeeMyung Soon Kim
Feb 6, 2021·Curēus·Iayla FatimaRachel Swanwick
Apr 15, 2004·Journal of the American Chemical Society·Phillip M RendleBenjamin G Davis
Nov 18, 2003·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·F M E WagenlehnerH F K Männl