Omental Actinomycosis Coexisting with Colon Cancer
Journal of the Korean Surgical Society
; : S17-S21, 2009.
Article
en En
| WPRIM
| ID: wpr-14886
Biblioteca responsable:
WPRO
ABSTRACT
Actinomycosis is a rare infection caused by Actinomyces species, normal commensal inhabitants of the human bronchial and gastrointestinal tract. Infection occurs after preceding mucosal break-down by variable causes. A preoperative diagnosis is difficult because of its nonspecific clinical features, mimicking malignancy, tuberculosis or other inflammatory diseases. We report a case of abdominal actinomycosis presenting as an omental mass, which coexists with ascending colon cancer. Actinomycosis was diagnosed by histopathologic demonstration of sulfur granules in a specimen resected by laparoscopic exploration. Following surgery, the patient was treated with IV penicillin (20 million IU/day) for 3 weeks, and follow-up colonoscopy showed adenocarcinoma in the ascending colon. The patient underwent right hemicolectomy, then treated with intravenous penicillin for 4 weeks postoperatively and oral penicillin for 6 months. The patient has been free of recurrence for 6 months.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Epiplón
/
Penicilinas
/
Recurrencia
/
Azufre
/
Tuberculosis
/
Actinomyces
/
Actinomicosis
/
Adenocarcinoma
/
Estudios de Seguimiento
/
Colonoscopía
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Humans
Idioma:
En
Revista:
Journal of the Korean Surgical Society
Año:
2009
Tipo del documento:
Article