術前診断困難であった横行結腸放線菌症の１例

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  • A CASE OF TRANSVERSE COLONIC ACTINOMYCOSIS WITH DIFFICULTY IN DIFFERENTIAL DIAGNOSIS

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A 61-years-old male had a right upper abdominal pain and palpable tumor. An operation was performed based on the diagnosis of malignant disease, as suggested by clinical features and the findings of several examination including barium enema, colonoscopy, CT scan, ultrasound guided aspiration biopsy cytology, and others. Transverse colectomy and partial abdominal wall resection was done. Microscopic examination of the resected tissues revealed abdominal actinomycosis, showing actinomycosis granules in the abscess. Abdominal actinomycosis is a rare disease and very difficult to make diagnosis preoperatively. However, its diagnosis may be able to accomplish by various examination.

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