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

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.

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References

  1. 1

    JG Gonzalez RR Gonzalez JV Patino AT Garcia CP Alvarez CS Pedrosa (1988) ArticleTitleCT findings in gastrointestinal perforation by ingested fish bones J Comput Assist Tomogr 12 88–90 Occurrence Handle1:STN:280:BieD1cfgvVw%3D Occurrence Handle3335676

    CAS  PubMed  Google Scholar 

  2. 2

    RS Berardi (1979) ArticleTitleAbdominal actinomycosis Surg Gynecol Obstet 149 257–66 Occurrence Handle1:STN:280:CSaB38rovFA%3D Occurrence Handle380028

    CAS  PubMed  Google Scholar 

  3. 3

    G Van Olmen MF Larmuseau K Geboes P Rutgeerts F Penninckx G Vantrappen (1984) ArticleTitlePrimary gastric actinomycosis: a case report and review of the literature Am J Gastroenterol 79 512–6 Occurrence Handle1:STN:280:BiuB2Mzmslw%3D Occurrence Handle6377875

    CAS  PubMed  Google Scholar 

  4. 4

    MC Olson TC Demos JP Tamayo (1993) ArticleTitleActinomycosis of the retroperitoneum and an extremity: CT features Abdom Imaging 18 295–7 Occurrence Handle1:STN:280:ByyB1cvgt1Q%3D Occurrence Handle8508099

    CAS  PubMed  Google Scholar 

  5. 5

    HK Ha HJ Lee H Kim HJ Ro YH Park SJ Cha et al. (1993) ArticleTitleAbdominal actinomycosis: CT findings in 10 patients Am J Roentgenol 161 791–4 Occurrence Handle1:STN:280:ByyA1cznvV0%3D

    CAS  Google Scholar 

  6. 6

    LA Harris JJ DeCosse A Dannenberg (1989) ArticleTitleAbdominal actinomycosis: evaluation by computed tomography Am J Gastroenterol 84 198–200 Occurrence Handle1:STN:280:BiaC3s3ltFQ%3D Occurrence Handle2636845

    CAS  PubMed  Google Scholar 

  7. 7

    HA Allen Suffix3rd JC Scatarige MH Kim (1987) ArticleTitleActinomycosis: CT findings in six patients Am J Roentgenol 149 1255–8

    Google Scholar 

Download references

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Correspondence to Yuji Nimura.

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Yamada, H., Kondo, S., Kamiya, J. et al. Computed Tomographic Demonstration of a Fish Bone in Abdominal Actinomycosis: Report of a Case. Surg Today 36, 187–189 (2006). https://doi.org/10.1007/s00595-005-3110-8

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Key words

  • Fish bone
  • Actinomycosis
  • Inflammatory pseudotumor