J Korean Surg Soc.  2001 Mar;60(3):345-348.

Submucosal Gastric Actinomycosis in a Hematemesis Patient

Affiliations
  • 1Department of General Surgery, Daegu Fatima Hospital Daegu, Korea.

Abstract

We experienced a case of submucosal gastric actinomycosis, presenting as bleeding. The 65-year-old woman had a symptom of epigastric pain, without any other intra-abdominal disease entity. A gastrofiberscopic study demonstrated a submucosal mass lesion with bleeding at the fundus. Because of the bleeding, laparotomy was undertaken, and a abscess containing a large mass was found at the gastric fundus, and total gastrectomy undertaken. Histological examination revealed a giant acute ulcer with a submucosal abscess due to actinomycosis. Because of its rarity, submucosal gastric actinomycosis is an entity overlooked by most surgeons. We report upon this case of submucosal gastric actinomycosis and include a review of the literature.

Keyword

Gastric submucosal actinomycosis
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