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Case Reports
. 2000 Jun;43(6):872-5.
doi: 10.1007/BF02238030.

Rare presentation of actinomycosis as an abdominal mass: report of a case

P Meyer  1 , O Nwariaku, R N McClelland, D Gibbons, F Leach, A I Sagalowsky, C Simmang, D R Jeyarajah
Affiliations
Case Reports

Rare presentation of actinomycosis as an abdominal mass: report of a case

P Meyer et al. Dis Colon Rectum. 2000 Jun.

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 underwent en 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.

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