Surgery Today

, Volume 36, Issue 2, pp 187–189

Computed Tomographic Demonstration of a Fish Bone in Abdominal Actinomycosis: Report of a Case

Authors

  • Hideki Yamada
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
  • Satoshi Kondo
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
  • Junichi Kamiya
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
  • Masato Nagino
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
  • Masahiko Miyachi
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
  • Michio Kanai
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
  • Atsushi Hayata
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
  • Junji Washizu
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
  • Yuji Nimura
    • Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of Medicine
Article

DOI: 10.1007/s00595-005-3110-8

Cite this article as:
Yamada, H., Kondo, S., Kamiya, J. et al. Surg Today (2006) 36: 187. doi:10.1007/s00595-005-3110-8

Abstract

A 53-year-old man who had the habit of consuming fish bones was referred to our clinic because of a suspected malignant abdominal wall tumor. Computed tomography (CT) showed a mass (10 × 5 cm) in continuity with the transverse abdominal muscle, containing a small calcification. A laparotomy was performed with a preoperative diagnosis of an inflammatory mass due to fish bone penetration from the sigmoid colon. A fish bone, measuring 2.3 cm in length, was detected within the tumor by specimen radiography. The pathological findings demonstrated actinomycotic colonies. We herein present the first case of a CT demonstration showing a fish bone in an abdominal mass which was pathologically confirmed to be actinomycosis. Evidence of the presence of a foreign body is valuable for diagnosing inflammatory nodules such as actinomycosis and differentiation from malignancies.

Key words

Fish boneActinomycosisInflammatory pseudotumor

Copyright information

© Springer-Verlag Tokyo 2006