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Ragonez D, Aoun O, Conan PL, Gominet M, Ezanno AC. Abdominal Actnomycocsis: Great Simulator. Surg Infect (Larchmt) 2022; 23:318-319. [PMID: 35049387 DOI: 10.1089/sur.2021.302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- David Ragonez
- Department of Gastrointestinal and Endocrine Surgery, Bégin Military Hospital, Saint-Mandé, France
| | - Olivier Aoun
- 46th Medical Unit, 5th Armed Forces Medical Center, Strasbourg, France
| | - Pierre-Louis Conan
- Department of Infectious and Tropical Diseases, Bégin Military Hospital, Saint-Mandé, France
| | - Marie Gominet
- Department of Infectious and Tropical Diseases, Bégin Military Hospital, Saint-Mandé, France
| | - Anne-Cecile Ezanno
- Department of Gastrointestinal and Endocrine Surgery, Bégin Military Hospital, Saint-Mandé, France
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Baba H, Fassi Fihri J, Ramraoui ME, Elguazzar A, Zeroual A, Lahkim M, El Khader A, Achour A, El Barni R. When a rare simultaneous infection simulates a local extension of a rectal cancer: a case report. J Med Case Rep 2021; 15:401. [PMID: 34380562 PMCID: PMC8359103 DOI: 10.1186/s13256-021-02989-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 06/29/2021] [Indexed: 11/16/2022] Open
Abstract
Background Actinomycosis is a rare chronic infection caused by Actinomyces. The abdominopelvic localization of this pathology makes preoperative diagnosis extremely exceptional. The following report is the case of a patient treated for adenocarcinoma of the middle rectum associated with mesorectal actinomycosis. The diagnosis of actinomycosis was made postoperatively. Case presentation A 69-year-old Caucasian male patient was admitted for rectal bleeding. Clinical and paraclinical assessment revealed a middle rectum adenocarcinoma with local extension in the mesorectum. The patient underwent an anterior resection of the rectum by laparotomy after neoadjuvant chemoradiotherapy. Postoperative follow-up was simple. Pathological study of the specimen noted complete sterilization of the rectal adenocarcinoma and the presence of large foci of suppurative necrosis containing actinomycotic grains in the mesorectum. Conclusion Abdominopelvic actinomycosis is a rare pathology and has therefore rarely been dealt with. This issue can lead to unnecessary and mutilating surgery. We report an exceptional coincidence of rectal adenocarcinoma and mesorectal actinomycosis mistaken for mesorectal extension of the cancer.
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Affiliation(s)
- Hicham Baba
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco. .,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco.
| | - Jawad Fassi Fihri
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco.,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Mohammed Essaid Ramraoui
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco.,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Ahmed Elguazzar
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco.,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Ahmed Zeroual
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco.,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Mohammed Lahkim
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco.,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Ahmed El Khader
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco.,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Abdessamad Achour
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco.,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
| | - Rachid El Barni
- Department of General Surgery, Avicenna Military Hospital, Marrakesh, Morocco.,Faculty of Medecine and Pharmacy, Cadi Ayyad University, Marrakesh, Morocco
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Baretton GB, Aust DE. [Bacterial colitis]. DER PATHOLOGE 2011; 32:371-8. [PMID: 21935759 DOI: 10.1007/s00292-011-1492-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
The question of whether there are inflammatory changes in colorectal biopsy specimens is frequently asked, especially when the patient reports diarrhea or when the mucosa is reddened on endoscopy. The pathologist first has to find out whether there is, in fact, an increase in the inflammatory infiltrate of the colorectal mucosa which warrants the diagnosis of inflammation. If so, the second challenge is to ascertain the etiology of these inflammatory changes, in particular to differentiate between infectious and non-infectious causes. In principle, we can distinguish forms of colitis with distinct morphological hallmarks confirming the diagnosis (e.g. microscopic detection of the causative organism, as well as lymphocytic or collagenous colitis) from other forms of colitis which have a characteristic pattern of findings not necessarily allowing to deduce the etiology (e.g. infectious colitis without microscopic evidence of the germ vs. inflammatory bowel disease). The present article discusses the pathomorphology and differential diagnosis of the most important forms of bacterial colitis.
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Affiliation(s)
- G B Baretton
- Institut für Pathologie, Universitätsklinikum Carl Gustav Carus der TU Dresden, Fetscherstr. 74, 01307, Dresden, Deutschland
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