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J Korean Soc Coloproctol. 1999 Jun;15(2):145-149. Korean. Case Report.
Chae GH , So BJ , Lee JK , Yun KJ , Lee KK .
Department of Surgery, Wonkwang University College of Medicine, Iksan, Korea.
Department of Pathology, Wonkwang University College of Medicine, Iksan, Korea.
Abstract

Actinomycosis is a chronic suppurative bacterial infection produced by Actinomyces israeli. The three major clinical presentation include the cervicofacial, thoracic, and abdominal regions. Abdominal actinomycosis is a rare entity which presents some difficulty in establishing a correct preoperative diagnosis. The diagnosis is usually based on histologic demonstration of sulfur granules in pus or surgically resected specimen. Recently, authors experienced a case of actinomycosis of the greater omentum in 38-years old woman. The patient underwent surgery under the impression of periappendiceal abscess. A 6cm sized firm mass was noted in the transverse colon. Histologically the mass was composed of fibroinflammatory mass with multiple actinomycosis granules.

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