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Gastric actinomycosis

C M Lee1, S H Ng, Y L Wan

  • 1Department of Diagnostic Radiology, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|January 1, 1996
PubMed
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This case report details a rare instance of gastric actinomycosis, a bacterial infection. Prompt diagnosis and surgical intervention followed by extended antibiotic therapy led to a successful patient outcome.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Actinomycosis is a rare bacterial infection typically affecting the cervicofacial region, but can occur in the gastrointestinal tract.
  • Gastric actinomycosis presents with nonspecific symptoms, often mimicking malignancy, posing diagnostic challenges.

Observation:

  • A 61-year-old woman presented with epigastric pain, fatigue, and a palpable epigastric mass.
  • Imaging revealed a gastric antrum mass; initial suspicion was malignancy.
  • Surgical exploration identified an indurated mass with suppuration and sulfur granules, characteristic of actinomycosis.

Findings:

  • Pathologic examination confirmed actinomycosis of the stomach.
  • The patient underwent successful subtotal gastrectomy and completed a course of penicillin therapy.

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  • Post-treatment follow-up showed complete recovery without recurrence.

    • Implications:

    • This case highlights the importance of considering actinomycosis in the differential diagnosis of gastric masses, even with initial nonspecific findings.
    • Computed tomography (CT) plays a crucial role in lesion delineation and extent evaluation.
    • Aggressive surgical management combined with prolonged antibiotic treatment is effective for gastric actinomycosis.