ABSTRACT
Actinomycosis is a chronic pyogenic granulomatous disease, defined as infection caused by gram-positive anaerobic Actinomyces, mainly Actinomyces Israelii. It colonize in human oral cavity, gastrointestinal tract, or genital tract of female, and characterized by lesion that secretes sulfur granules. Generally, abdominal actinomycosis shows chronic disease progression without any typical clinical symptoms, sometimes forming an inflammatory mass within the abdominal cavity. Due to this fact, it is frequently mistaken as malignant neoplasm, diagnosed only after operation. We report this case after diagnosing abdominal actinomycosis without an open abdominal surgery ; colonoscopy and biopsy was carried out in a patient with mucosal changes and luminal narrowing of transverse colon on colon study, ultimately diagnosing abdominal actinomycosis without an open abdominal surgery.
Subject(s)
Female , Humans , Abdominal Cavity , Actinomyces , Actinomycosis , Biopsy , Chronic Disease , Colon , Colon, Transverse , Colonoscopy , Gastrointestinal Tract , Mouth , Phenobarbital , SulfurABSTRACT
The coexistence of adrenal cortical tumor and pheochromocytoma was extremely rare. A total of 25 reported cases showing evidence of hyperfuction of the adrenal cortex and pheochromocytoma were noted in the literature. Of those twenty cases were coexistence of pheochromocytoma and adrenocortical hyperplasia and only five cases were coincident pheochromocytoma and adreno-cortical adenoma. Recently, we experienced a case of adrenocortical adenoma associated with incidental pheochrmocytoma. A 55-year-old woman complained of progressive weight gain and epigastric discomfort. Hormonal and radiologic studies revealed Cushings syndrome with a left adrenal tumor. Adrenalectomy was performed and the gland actually had two nodules on its surface, one pheochromocytoma and the other cortical adenoma. This patient was the first case of pheochromocytoma with adrenocortical adenoma in Korea. We report the case with a review of literature.