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Multimodality Diagnosis of Mesenteric Ischemia

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Published on: July 21, 2023

Mesenteric actinomycosis

Adrienn Biró¹, László Ternyik¹, Katalin Heckel²

¹1 Somogy Megyei Kaposi Mór Oktató Kórház, Sebészeti Osztály, Kaposvár, Tallián Gy. u. 20-32., 7400.

|January 18, 2021

Summary

A rare case of abdominal actinomycosis presented as a tumor in a 46-year-old woman. Diagnosis was confirmed via histology after surgical resection, highlighting actinomycosis as a crucial differential diagnosis for abdominal masses.

Keywords:

abdominal actinomycosis daganat hasi malignant mesenterialis mesenteric

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Area of Science:

Gastroenterology and Hepatology
Infectious Diseases
Surgical Oncology

Background:

Abdominal actinomycosis is a rare, potentially serious infection that can mimic malignancy.
Early and accurate diagnosis is crucial for effective treatment and patient outcomes.

Observation:

A 46-year-old female presented with fever and abdominal pain, initially suspected as a tumor.
Imaging revealed a retroperitoneal mass involving the small and large intestines.
Surgical exploration identified a mass initially appearing neoplastic.

Findings:

Histopathological examination revealed mesenteric actinomycosis, not malignancy.
The actinomycotic mass was distinct from the intestinal wall.
Surgical intervention included right hemicolectomy and sigmoid colon resection.

Implications:

This case underscores the importance of considering abdominal actinomycosis in the differential diagnosis of abdominal masses.
Prompt recognition and appropriate antibiotic therapy are key to successful management.
Highlighting rare conditions aids clinicians in broadening diagnostic considerations for complex abdominal presentations.