Hepatic Actinomycosis Mimicking Malignancy After Pancreaticoduodenectomy: A Case Report

Cureus. 2022 Jan 14;14(1):e21234. doi: 10.7759/cureus.21234. eCollection 2022 Jan.

Abstract

Abdominal actinomycosis is a rare disease caused by a Gram-positive bacillus (Actinomyces). Liver manifestation is rare and, in patients with a history of cancer, differential diagnosis with secondary malignant disease can be difficult. Microbiological result is necessary for a correct diagnosis, though not always possible in preoperative workout. The authors present a case of hepatic actinomycosis that mimicked oncological disease and led to a more aggressive surgical approach.

Keywords: actinomyces infection; granulomatous disease; hepatic neoplasm; hepatic pseudotumor; liver actinomycosis.

Publication types

  • Case Reports