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"Fungating" tumour? No, it's bacterial!
BMJ Case Rep 2019; 12(2)BC

Abstract

A fit and healthy 26-year-old woman presented to the general surgical team with epigastric pain and weight loss of 2 stones over 6 months. She has also a positive family history of ulcerative colitis. As her oesophagogastroduodenoscopy and colonoscopy were normal, a contrasted CT was requested, and it detected an inflammatory mass with fat streaking around her transverse colon. An intrauterine contraceptive device (IUCD) was noted. In light of the CT findings, she underwent a diagnostic laparoscopy. As the inflammatory mass was not separable from the transverse colon, a segmental transverse colectomy was proceeded. The histology revealed multiple actinomycosis abscesses in the mesentery. Subsequently, we learnt that her IUCD had been in situ for the last 7 years, and the source of actinomycosis abscesses is likely from her IUCD. The patient was recommended to have the coil removed and commenced on a 6 months course of amoxicillin.

Authors+Show Affiliations

County Hospital Hereford, Hereford, UK.County Hospital Hereford, Hereford, UK. College of Medicine and Veterinary Medicine, Edinburgh Medical school, The University of Edinburgh, Edinburgh, UK.County Hospital Hereford, Hereford, UK.County Hospital Hereford, Hereford, UK.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30804160

Citation

Balakrishnan, Malathy, et al. ""Fungating" Tumour? No, It's Bacterial!" BMJ Case Reports, vol. 12, no. 2, 2019.
Balakrishnan M, Phan YC, McIlroy B, et al. "Fungating" tumour? No, it's bacterial! BMJ Case Rep. 2019;12(2).
Balakrishnan, M., Phan, Y. C., McIlroy, B., & Leung, E. (2019). "Fungating" tumour? No, it's bacterial! BMJ Case Reports, 12(2), doi:10.1136/bcr-2018-227876.
Balakrishnan M, et al. "Fungating" Tumour? No, It's Bacterial. BMJ Case Rep. 2019 Feb 25;12(2) PubMed PMID: 30804160.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - "Fungating" tumour? No, it's bacterial! AU - Balakrishnan,Malathy, AU - Phan,Yih Chyn, AU - McIlroy,Brendan, AU - Leung,Edmund, Y1 - 2019/02/25/ PY - 2019/2/27/entrez PY - 2019/2/26/pubmed PY - 2019/6/18/medline KW - contraception KW - gastroenterology KW - general surgery KW - infection (gastroenterology) JF - BMJ case reports JO - BMJ Case Rep VL - 12 IS - 2 N2 - A fit and healthy 26-year-old woman presented to the general surgical team with epigastric pain and weight loss of 2 stones over 6 months. She has also a positive family history of ulcerative colitis. As her oesophagogastroduodenoscopy and colonoscopy were normal, a contrasted CT was requested, and it detected an inflammatory mass with fat streaking around her transverse colon. An intrauterine contraceptive device (IUCD) was noted. In light of the CT findings, she underwent a diagnostic laparoscopy. As the inflammatory mass was not separable from the transverse colon, a segmental transverse colectomy was proceeded. The histology revealed multiple actinomycosis abscesses in the mesentery. Subsequently, we learnt that her IUCD had been in situ for the last 7 years, and the source of actinomycosis abscesses is likely from her IUCD. The patient was recommended to have the coil removed and commenced on a 6 months course of amoxicillin. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/30804160/"Fungating"_tumour_No,_it's_bacterial! L2 - http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=30804160 DB - PRIME DP - Unbound Medicine ER -