Abstract
We present herein the case of a patient with actinomycosis involving the pelvic cavity, who presented with a rectal stricture. It is rare for this type of actinomycosis to be accurately diagnosed preoperatively, but a precise diagnosis, made using needle biopsy guided by computed tomography allowed for successful treatment by resection of the granulation tissue surrounding the rectal stricture through a transsacral approach.
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References
Eastridge EE, J Richard P, Felix AH Jr, Joseph MY, McCaughan JJ Jr (1972) Actinomycosis: A 24-year experience. South Med J 65:839–843
Nelson SB, Robert JS, Donald RN (1974) Primary anorectal actinomycosis. JAMA, 228:1397–1440
Ratliff DA (1986) Rectal stricture due to actinomycosis. Br J Surg 73:589–590
Lucinda AH, Jerome JD, Andrew D (1989) Abdominal actinomycosis: Evaluation by computed tomography. Am J Gastroenterol 84:198–200
Ohmagari T, Miura T, Hashimoto S, Shimoyama T, Nakagoe T, Sekine I (1988) Ileocecalactinomycosis: A case report and review of the literature. Acta Med Nagasaki 33:245–250
Robert C, Stuart HQQ (1979) Colonic actinomycosis mimicking carcinoma. Dis Col Rec 22:45–46
Phillip I, Lerner W (1990) Actinomyces and arachnia species. Principles and practice of infections diseases, 3rd edn. Churchill Livingstone, New York, pp 1932–1942
Theodore RS (1992) Actinomycosis of the distal colon and rectum. Gastrointest Radiol 17:274–276
Kevin FO, Michael NB, Marilyn RC, Stephen IS (1989) Pelvic actinomycosis associated with intrauterine devices. Radiology 170:559–560
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Umeda, T., Ito, K., Kiriyama, K. et al. Pelvic actinomycosis presenting with a rectal stricture: Report of a case. Surg Today 24, 648–650 (1994). https://doi.org/10.1007/BF01833734
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DOI: https://doi.org/10.1007/BF01833734