大網放線菌症の1例

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  • A CASE OF PRIMARY ACTINOMYCOSIS OF THE GREATER OMENTUM

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A 53-year-old man was admitted to the hospital because of abdominal pain, fever and general fatigue. Spiral computed tomography (CT) showed a mass with the maximum diameter of 40 mm in the left lower quadrant of the abdomen. We suspected an inflammatory pseudotumor of the greater omentum, soft tissue tumor or metastatic tumor from CT, barium enema and digital substruction angiography (DSA). We performed an emergency operation because he developed symptoms of diffuse peritonitis and ileus during close examinations.<br>On histopathological examination, sulfur granules of actinomycosis were observed in purulent exudates and actinomycosis of the greater omentum was diagnosed. Postoperative course was uneventful. He has been free from any symptoms and signs of recurrence, as of 12 months after the operation. Actinomycosis is relatively rare and it is not easy to diagnosis for this disease. But it is necessary to considered in the differential of the abdominal mass.

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