BACKGROUND: Abdominal actinomycosis is an infrequent chronic, suppurative infection caused by the aerobic gram-positive bands Actinomyces israelii. PATIENT PRESENTATION: We report two cases of abdominal actinomycosis, simulating colon cancer. Before operation, both patients presented with abdominal pain and a palpable mass. Abdominal computed tomography (CT) revealed an infiltrating irregular mass in the cecum and transverse colon, respectively. Surgical intervention was then performed under the impression of colonic malignancy. CONCLUSION: Postoperatively, pathologic examination confirmed the diagnosis of abdominal actinomycosis in which the characteristic finding of sulfur granules in the resected specimen was demonstrated. After surgery, the patients continued antibiotic treatment with ampicillin for 2 months at our OPD and had no signs of recurrence 1 year after surgery.
BACKGROUND:Abdominal actinomycosis is an infrequent chronic, suppurative infection caused by the aerobic gram-positive bands Actinomyces israelii. PATIENT PRESENTATION: We report two cases of abdominal actinomycosis, simulating colon cancer. Before operation, both patients presented with abdominal pain and a palpable mass. Abdominal computed tomography (CT) revealed an infiltrating irregular mass in the cecum and transverse colon, respectively. Surgical intervention was then performed under the impression of colonic malignancy. CONCLUSION: Postoperatively, pathologic examination confirmed the diagnosis of abdominal actinomycosis in which the characteristic finding of sulfur granules in the resected specimen was demonstrated. After surgery, the patients continued antibiotic treatment with ampicillin for 2 months at our OPD and had no signs of recurrence 1 year after surgery.
Authors: Hye Young Sung; In Seok Lee; Sang Il Kim; Seung Eun Jung; Sang Woo Kim; Su Young Kim; Mun Kyung Chung; Won Chul Kim; Seong Tack Oh; Won Kyung Kang Journal: J Korean Med Sci Date: 2011-06-20 Impact factor: 2.153
Authors: Sammy A Baierlein; Anja Wistop; Christian Looser; Thomas Peters; Hans-Martin Riehle; Markus von Flüe; Ralph Peterli Journal: Obes Surg Date: 2007-08 Impact factor: 4.129