Enterovesical Fistula Associated with Pelvic Actinomycosis: Case Report and Literature Review

Authors

  • Chakrapan Euanorasetr Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
  • Weerapat Suwanthanma Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand
  • Pattana Sornmayura Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand

Abstract

Actinomycosis is a rare chronic, suppurative infection caused by the bacteria of the Actinomyces species. This chronic infection may present with a variety of symptoms. Florid abscess formation with fistulation, abundant granulation and dense surrounding fibrosis are common. Diagnosis prior to, or even during surgery is rare and the findings are usually mistaken for inflammatory process or malignancy. Abdominal actinomycosis has been recognized for over 150 years yet is largely unknown to most clinicians. It was once described as “the most misdiagnosed disease”.
We report here a 59-year-old woman who presented with enterovesical fistula secondary to pelvic actinomycosis. Its recognition is important as clinical and radiological findings may mimic malignancy and lead to radical and unnecessary surgery. A high index of suspicion for this rare but devastating condition must be maintained. To our knowledge, this is the second reported case of enterovesical fistula secondary to pelvic
actinomycosis in the English language literature. The literature on abdomino-pelvic actinomycosis was reviewed.

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Published

2010-03-31

How to Cite

1.
Euanorasetr C, Suwanthanma W, Sornmayura P. Enterovesical Fistula Associated with Pelvic Actinomycosis: Case Report and Literature Review. Thai J Surg [Internet]. 2010 Mar. 31 [cited 2022 Sep. 28];31(1). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/227833

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