Rare presentation of actinomycosis as an abdominal mass: Report of a case

P. Meyer, Ohwofiemu E Nwariaku, Robert N McClelland, D. Gibbons, F. Leach, Arthur I Sagalowsky, C. Simmang, D. R. Jeyarajah

Research output: Contribution to journalArticle

39 Scopus citations

Abstract

PURPOSE. The purpose of this article was to report an unusual presentation of abdominal actinomycosis masquerading as a tumor. METHODS: The patient was a 54-year-old male who presented with vague abdominal discomfort and a palpable left lower quadrant mass defined on CT scan. Multiple intraoperative core biopsies were nondiagnostic, and he underwent en bloc resection of the mass and adjacent organs for a presumed tumor. RESULTS: Examination of tissue from deep within the excised specimen revealed sulfur granules diagnostic for actinomycosis. CONCLUSION: Abdominal actinomycosis is an extremely rare infection that can mimic multiple disease processes and requires accurate diagnosis for successful therapy. This novel presentation and a review of the literature are reported.

Original languageEnglish (US)
Pages (from-to)872-875
Number of pages4
JournalDiseases of the Colon and Rectum
Volume43
Issue number6
DOIs
StatePublished - Jun 2000

Keywords

  • Abdominal infection
  • Abdominal mass
  • Actinomycosis

ASJC Scopus subject areas

  • Gastroenterology

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