Korean J Gastrointest Endosc.  2003 Aug;27(2):84-87.

A Case of Abdominal Actinomycosis Mimicking Colon Carcinoma

Affiliations
  • 1Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea. jassa@ewha.ac.kr
  • 2Department of Radiology, Ewha Womans University College of Medicine, Seoul, Korea.

Abstract

Actinomycosis is a chronic suppurative and granulomatous-disease caused by Actinomycosis israelli. Clinical presentation of the abdominal form of actinomycosis is nonspecific-pain, fever, leukocytosis, increased erythrocyte sedimentation rate, a sensation of abdominal mass and a formation of fistula. In addition, abdominal actinomycosis may mimic a carcinoma, diverticular abscess, inflammatory bowel disease, and tuberculosis. Most of abdominal actinomycosis develops after trauma, appendicitis, diverticulitis or gastrointestinal perforation. We report a case of abdominal actinomycosis preoperatively mimicking as colon carcinoma, which had no predisposing factors.

Keyword

Actinomycosis; Colon carcinoma

MeSH Terms

Abscess
Actinomycosis*
Appendicitis
Blood Sedimentation
Causality
Colon*
Diverticulitis
Fever
Fistula
Inflammatory Bowel Diseases
Leukocytosis
Sensation
Tuberculosis
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