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Diseases of the Colon & Rectum

, Volume 43, Issue 6, pp 872–875 | Cite as

Rare presentation of actinomycosis as an abdominal mass

Report of a case
  • P. Meyer
  • O. Nwariaku
  • R. N. McCelland
  • D. Gibbons
  • F. Leach
  • A. I. Sagalowsky
  • C. Simmang
  • D. R. Jeyarajah
Case Reports

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 underwenten 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.

Key words

Actinomycosis Abdominal mass Abdominal infection 

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References

  1. 1.
    Asuncion CM, Cinti DC, Hawkins HB. Abdominal manifestations of actinomycosis in IUD users. J Clin Gastroenterol 1984;6:343–8.Google Scholar
  2. 2.
    Ratliff DA, Carr N, Cochrane JP. Rectal stricture due to actinomycosis. Br J Surg 1986;73:589–90.Google Scholar
  3. 3.
    Kahle M, Walther H, Schmidt G, Hellmeier S. Die Abdominelle Aktinomykose. Dtsch Med Wochenschr 1993;118:775–9.Google Scholar
  4. 4.
    Axelrod FB, Fonda JN, Bradley EL III. Retroperitoneal actinomycosis: a rare manifestation of an uncommon disease. South Med J 1982;75:1156–7.Google Scholar
  5. 5.
    Fanous H, Elist J, Edson M. Perivesical actinomycosis presenting as an acute abdomen. J Urol 1981;126:117–8.Google Scholar
  6. 6.
    Miller BJ, Wright JL, Colquhoun BP. Some etiologic concepts of actinomycosis of the greater omentum. Surg Gynecol Obstet 1978;146:412–4.Google Scholar
  7. 7.
    Serrano-Rios M, Navarro V, Fontan J, Oliva H, Ramirez J. Isolated hepato-pancreatic actinomycosis: report of a case simulating an acute abdomen of fatal course. Digestion 1969;2:262–71.Google Scholar
  8. 8.
    Mickley V, Reismann B, Rahlf G. Aktinomykose der Harnblase. Dtsch Med Wochenschr 1989;114:1488–91.Google Scholar
  9. 9.
    Berardi RS. Abdominal actinomycosis. Surg Gynecol Obstet 1979;149:257–66.Google Scholar
  10. 10.
    Davies M, Keddie NC. Abdominal actinomycosis. Br J Surg 1973;60:18–22.Google Scholar
  11. 11.
    Gingold BS, Fazio VW. Abdominal actinomycosis: a complication of colonic perforation. Dis Colon Rectum 1978;21:374–6.Google Scholar
  12. 12.
    Harris LA, DeCosse JJ, Dannenberg A. Abdominal actinomycosis: evaluation by computed tomography. Am J Gastroenterol 1989;84:198–200.Google Scholar
  13. 13.
    Allen HA III, Scatarige JC, Kim MH. Actinomycosis. CT findings in six patients. Am J Roentgen 1987;149:1255–8.Google Scholar
  14. 14.
    Eastridge CE, Prather JR, Hughes FA Jr, Young JM, McCaughan JJ Jr. Actinomycosis: a 24-year experience. South Med J 1972;65:839–43.Google Scholar
  15. 15.
    Putnam HC, Dockerty MB, Waugh JM. Abdominal actinomycosis: an analysis of 122 cases. Surgery 1950;28:781–800.Google Scholar

Copyright information

© The American Society of Colon and Rectal Surgeons 2000

Authors and Affiliations

  • P. Meyer
    • 1
  • O. Nwariaku
    • 1
  • R. N. McCelland
    • 1
  • D. Gibbons
    • 2
  • F. Leach
    • 3
  • A. I. Sagalowsky
    • 3
  • C. Simmang
    • 1
  • D. R. Jeyarajah
    • 1
  1. 1.From the Department of SurgeryUniversity of Texas Southwestern Medical SchoolDallas
  2. 2.the Department of PathologyUniversity of Texas Southwestern Medical SchoolDallas
  3. 3.the Department of UrologyUniversity of Texas Southwestern Medical SchoolDallas

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