Korean J Gastroenterol.  2012 Jul;60(1):61-63. 10.4166/kjg.2012.60.1.61.

Actinomycosis in Pancreas and Psoas Muscle

Affiliations
  • 1Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jongk.lee@samsung.com

Abstract

No abstract available.


MeSH Terms

Actinomycosis/*diagnosis/drug therapy/microbiology
Adult
Amoxicillin/therapeutic use
Ampicillin/therapeutic use
Anti-Bacterial Agents/therapeutic use
Endosonography
Female
Gram-Positive Bacteria/isolation & purification
Humans
Pancreas/ultrasonography
Psoas Muscles/ultrasonography
Tomography, X-Ray Computed

Figure

  • Fig. 1 Computed tomography images showed ill defined, multi-lobulated low attenuated lesions at the right psoas muscle (A) and the pancreas (B).

  • Fig. 2 Microscopic finding of the resected mass showed inflammatory cell infiltration and sulfur granules containing numerous filamentous bacilli (A: H&E, ×100; B: Gomori methenamine silver stain, ×400).

  • Fig. 3 Endoscopic ultrasound findings. It showed ill defined, low attenuated lesion around the pancreatic neck (A). Fine needle aspiration was done for this lesion (B).

  • Fig. 4 After surgical procedure and 2 months of antibiotic therapy, computed tomography scan showed disappearance of inflammatory lesion at the pancreas body and right psoas muscle.


Reference

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