Actinomycosis of the cholecystic duct: Case report and review

被引:28
作者
Ormsby, AH
Bauer, TW
Hall, GS
机构
[1] Cleveland Clin Educ Fdn, Dept Pathol, Cleveland, OH 44106 USA
[2] Cleveland Clin Fdn, Dept Pathol Anat, Cleveland, OH 44195 USA
[3] Cleveland Clin Fdn, Dept Microbiol, Cleveland, OH 44195 USA
关键词
actinomycosis; abdominal; gall bladder; cholecystic duct; pathogenesis; diagnosis; management;
D O I
10.1080/00313029800169695
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Actinomycosis of the gall bladder, cholecystic duct or common bile duct is rare, with only 16 cases reported to our knowledge. We report a case of actinomycosis in the cholecystic duct remnant of an 80-year-old woman with a history of cholecystitis, choledocholithiasis and cholecystoduodenal fistula requiring cholecystectomy and fistula closure three years prior. Histologic sections of the cystic duct remnant showed several dense basophilic masses containing numerous, dark blue, Gram-positive branching bacilli compatible with actinomycotic granules. Fluorescent antibody staining was positive for Actinomyces naeslundii. Staining for acid-fast bacilli was negative. The pathogenesis, presentation, diagnosis and management of abdominal actinomycosis with specific reference to disease involving the gait bladder are discussed.
引用
收藏
页码:65 / 67
页数:3
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