Surgery Today

, Volume 36, Issue 2, pp 187–189 | Cite as

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

  • Hideki Yamada
  • Satoshi Kondo
  • Junichi Kamiya
  • Masato Nagino
  • Masahiko Miyachi
  • Michio Kanai
  • Atsushi Hayata
  • Junji Washizu
  • Yuji Nimura
Article

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 bone Actinomycosis Inflammatory pseudotumor 

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References

  1. 1.
    Gonzalez, JG, Gonzalez, RR, Patino, JV, Garcia, AT, Alvarez, CP, Pedrosa, CS 1988CT findings in gastrointestinal perforation by ingested fish bonesJ Comput Assist Tomogr128890PubMedGoogle Scholar
  2. 2.
    Berardi, RS 1979Abdominal actinomycosisSurg Gynecol Obstet14925766PubMedGoogle Scholar
  3. 3.
    Van Olmen, G, Larmuseau, MF, Geboes, K, Rutgeerts, P, Penninckx, F, Vantrappen, G 1984Primary gastric actinomycosis: a case report and review of the literatureAm J Gastroenterol795126PubMedGoogle Scholar
  4. 4.
    Olson, MC, Demos, TC, Tamayo, JP 1993Actinomycosis of the retroperitoneum and an extremity: CT featuresAbdom Imaging182957PubMedGoogle Scholar
  5. 5.
    Ha, HK, Lee, HJ, Kim, H, Ro, HJ, Park, YH, Cha, SJ,  et al. 1993Abdominal actinomycosis: CT findings in 10 patientsAm J Roentgenol1617914Google Scholar
  6. 6.
    Harris, LA, DeCosse, JJ, Dannenberg, A 1989Abdominal actinomycosis: evaluation by computed tomographyAm J Gastroenterol84198200PubMedGoogle Scholar
  7. 7.
    Allen, HA,3rd, Scatarige, JC, Kim, MH 1987Actinomycosis: CT findings in six patientsAm J Roentgenol14912558Google Scholar

Copyright information

© Springer-Verlag Tokyo 2006

Authors and Affiliations

  • Hideki Yamada
    • 1
  • Satoshi Kondo
    • 1
  • Junichi Kamiya
    • 1
  • Masato Nagino
    • 1
  • Masahiko Miyachi
    • 1
  • Michio Kanai
    • 1
  • Atsushi Hayata
    • 1
  • Junji Washizu
    • 1
  • Yuji Nimura
    • 1
  1. 1.Department of Surgery, Division of Surgical OncologyNagoya University Graduate School of MedicineNagoyaJapan

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