Actinomicosis abdominal

La actinomicosis es una entidad poco frecuente, de clínica inespecífica y diagnóstico difícil. Éste se realiza de forma inicial en menos del 10% de los casos, por lo que a menudo se diagnostica tras una intervención indicada ante la sospecha de otro proceso. Se describen 2 casos de actinomicosis abdominal, uno que afectaba al colon y a la pared abdominal, y otro que afectaba al hígado, que inicialmente fueron diagnosticados de carcinoma de colon y colecistitis alitiásica, respectivamente. El diagnóstico de actinomicosis se realizó tras las intervenciones quirúrgicas. Se discuten las formas de presentación, los métodos diagnósticos y los tratamientos

Abdominal actinomycosis is an uncommon entity with nonspecific clinical signs, making its diagnosis difficult. Thus, less than 10% of cases are initially diagnosed correctly, and it is often identified in the course of surgery performed to treat some other suspected disease process. Two cases of abdominal actinomycosis are presented, one involving colon and the abdominal wall and the other involving the liver. They were initially diagnosed as colon carcinoma and acalculous cholecystitis, respectively. The diagnosis of actinomycosis was reached postoperatively. The presentation, diagnostic methods and treatment are discussed