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Case Reports
. 2021 May 5;2021(5):rjab171.
doi: 10.1093/jscr/rjab171. eCollection 2021 May.

Case report: actinomycosis of the abdominal wall

Mario Tarzi  1 , Alma Douedari  1 , Rama Aldakhil  1 , Aghyad Kudra Danial  2 , Ahmad Al-Haj  2
Affiliations
Case Reports

Case report: actinomycosis of the abdominal wall

Mario Tarzi et al. J Surg Case Rep. .

Abstract

Primary abdominal wall actinomycosis is rare, but even rarer when it comes to intestinal infiltration; it is usually misdiagnosed as a neoplasm in computed tomography till proved otherwise with pathological examination. We report a 59-year-old diabetic male presented with a year-old abdominal wall mass, diagnosed by pathology after surgical excisional biopsy, and treated with penicillin for 6 months. We recommend consideration of actinomycosis in cases of abdominal wall mass, especially in immunocompromised patients, as a differential diagnosis of neoplastic lesions.

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Figures

Figure 1
Figure 1
The mass after surgical removal. It consisted of the umbilicus, the tumor itself, a part of the omentum and intestines.
Figure 2
Figure 2
CT scan of the tumor as it shows infiltration to adjacent structures and attachment to the anterior abdominal wall.
Figure 3
Figure 3
Gross anatomical view of the mass after dissection; note the jelly substance in the middle.
Figure 4
Figure 4
Microscopic evaluation of the tumor specimen.
See this image and copyright information in PMC

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