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Abdominal mass secondary to actinomyces infection: an unusual presentation and its treatment.
J Postgrad Med. 2004 Apr-Jun; 50(2):115-7.JP

Abstract

Abdominal actinomycosis may appear as an abdominal mass and/or abscess. This mass can mimic a malignant tumour. The diagnosis and management of abdominal actinomycosis will be discussed through a review of the literature and a case report from our own institution. The patient was a 17-year-old boy who presented with abdominal discomfort and a palpable right lower quadrant mass defined on CT scan. He underwent en bloc resection of the mass for a presumed diagnosis of tumour of uncertain type with intestinal involvement. The diagnosis was reversed, when histology revealed filamentous organisms consistent with actinomyces. He was treated with high dose penicillin for several weeks and was discharged from the hospital taking penicillin orally. Preoperative diagnosis of abdominal actinomycosis is difficult. An accurate diagnosis is always obtained in a histological or microbiological examination, often requiring surgical resection. Recognition is important because successful treatment requires combined surgery and prolonged penicillin treatment.

Authors+Show Affiliations

Department of General Surgery, Istanbul University, Istanbul Medical Faculty, 34390 Istanbul, Capa, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15235207

Citation

Sumer, Y, et al. "Abdominal Mass Secondary to Actinomyces Infection: an Unusual Presentation and Its Treatment." Journal of Postgraduate Medicine, vol. 50, no. 2, 2004, pp. 115-7.
Sumer Y, Yilmaz B, Emre B, et al. Abdominal mass secondary to actinomyces infection: an unusual presentation and its treatment. J Postgrad Med. 2004;50(2):115-7.
Sumer, Y., Yilmaz, B., Emre, B., & Ugur, C. (2004). Abdominal mass secondary to actinomyces infection: an unusual presentation and its treatment. Journal of Postgraduate Medicine, 50(2), 115-7.
Sumer Y, et al. Abdominal Mass Secondary to Actinomyces Infection: an Unusual Presentation and Its Treatment. J Postgrad Med. 2004 Apr-Jun;50(2):115-7. PubMed PMID: 15235207.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Abdominal mass secondary to actinomyces infection: an unusual presentation and its treatment. AU - Sumer,Y, AU - Yilmaz,B, AU - Emre,B, AU - Ugur,C, PY - 2004/7/6/pubmed PY - 2005/1/29/medline PY - 2004/7/6/entrez SP - 115 EP - 7 JF - Journal of postgraduate medicine JO - J Postgrad Med VL - 50 IS - 2 N2 - Abdominal actinomycosis may appear as an abdominal mass and/or abscess. This mass can mimic a malignant tumour. The diagnosis and management of abdominal actinomycosis will be discussed through a review of the literature and a case report from our own institution. The patient was a 17-year-old boy who presented with abdominal discomfort and a palpable right lower quadrant mass defined on CT scan. He underwent en bloc resection of the mass for a presumed diagnosis of tumour of uncertain type with intestinal involvement. The diagnosis was reversed, when histology revealed filamentous organisms consistent with actinomyces. He was treated with high dose penicillin for several weeks and was discharged from the hospital taking penicillin orally. Preoperative diagnosis of abdominal actinomycosis is difficult. An accurate diagnosis is always obtained in a histological or microbiological examination, often requiring surgical resection. Recognition is important because successful treatment requires combined surgery and prolonged penicillin treatment. SN - 0022-3859 UR - https://www.unboundmedicine.com/medline/citation/15235207/Abdominal_mass_secondary_to_actinomyces_infection:_an_unusual_presentation_and_its_treatment_ L2 - http://www.jpgmonline.com/article.asp?issn=0022-3859;year=2004;volume=50;issue=2;spage=115;epage=117;aulast=Sumer DB - PRIME DP - Unbound Medicine ER -