Actinomycosis of the gallbladder: Case report and review of the literature

Ashraf F. Hefny, Fawaz C. Torab, Sandhya Joshi, Michael Sebastian, Fikri M. Abu-Zidan

Research output: Contribution to journalArticlepeer-review

9 Citations (Scopus)

Abstract

Actinomycosis of the gallbladder is very rare. Herein, we report the case of a 50-year-old man who presented with acute right hypochondrial pain, fever and rigors associated with positive Murphy's sign. Ultrasound showed that the gallbladder had multiple stones and an oedematous thick wall. The preoperative diagnosis was acute cholecystitis. The patient responded to conservative treatment with antibiotics. Laparoscopic cholecystectomy was performed 6 weeks later but was converted to open surgery because of dense adhesions to the duodenum and sealed duodenal perforation. Microscopic examination of the gallbladder showed moderate to severe inflammation with formation of microabscesses and numerous colonies of actinomycetes. We also review the literature on this rare disease. Although surgery is essential, prolonged postoperative antibiotic is required.

Original languageEnglish
Pages (from-to)230-232
Number of pages3
JournalAsian Journal of Surgery
Volume28
Issue number3
DOIs
Publication statusPublished - Jul 2005

Keywords

  • Actinomycosis
  • Acute cholecystitis
  • Gallbladder

ASJC Scopus subject areas

  • Surgery

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