A case of primary actinomycosis and secondary eumycetoma in anterior abdomen wall – A case report

Abstract

Actinomycosis of abdomen accounts to only 10-20%. We report a 58-year-old diabetic man who presented with abdomen pain and swelling for 10 days duration associated with fever. Abdominal computed tomography showed a large thick walled peripheral enhancing collection between lateral abdominal wall and capsular surface of right lobe of liver with extension into right lateral abdominal wall muscle at level 12 th rib. Laparotomy and peritoneal wash was performed. Intra-operative pus pocket 300 ml drained from 10, 11 and 12 th rib site (port site). Histopathological examination of the mass revealed Actinomycosis. The postoperative period was uneventful and the patient recovered completely. The patient received antibiotic course for 2 weeks. Patient presented 5 months later with swelling in right lumbar evaluated showed fungal hyphae (Eumycetoma) and course completed. in onset, gradual in progression to reach the present size. History of occasional fever was present.