Yonsei Med J.
2006 Aug;47(4):583-586. 10.3349/ymj.2006.47.4.583.
Abdominal Actinomycosis Associated with a Sigmoid Colon Perforation in a Patient with a Ventriculoperitoneal Shunt
- Affiliations
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- 1Department of Internal Medicine, Gyeongsang National University, College of Medicine, Jinju, Korea. shchang@gaechuk.gsnu.ac.kr
- 2Department of Radiology, Gyeongsang National University, College of Medicine, Jinju, Korea.
- 3Department of Internal Medicine, Eulji University, Daejeon, Korea.
- KMID: 1779512
- DOI: http://doi.org/10.3349/ymj.2006.47.4.583
Abstract
- Abdominal actinomycosis causing hydronephrosis in a patient with a ventriculoperitoneal shunt is very rare. A 27- year-old female patient was admitted complaining of lower abdominal pain. She had undergone ventriculoperitoneal shunt surgery 10 years ago. Abdominal Ultrasonography and a CT scan demonstrated an inflammatory mass in the lower left quadrant of the abdomen causing obstructive hydroureter and hydronephrosis. Laparotomy revealed a diffusely infiltrating mass involving the small bowel, mesentery, and sigmoid colon, and a 1cm perforation in the sigmoid colon. Actinomycosis was diagnosed upon histological examination. After treatment with antibiotics and surgery, the patient's condition improved.
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