A rare case of ascending colon actinomycosis mimicking cancer

Autor: Zizi Diamanto, Psimitis Ioannis, Filippou Dimitrios, Rizos Spiros
Jazyk: angličtina
Rok vydání: 2005
Předmět:
Zdroj: BMC Gastroenterology, Vol 5, Iss 1, p 1 (2005)
Druh dokumentu: article
ISSN: 1471-230X
DOI: 10.1186/1471-230X-5-1
Popis: Abstract Background Actinomycosis is a rare inflammatory disease caused by an anaerobic bacterium that can rarely affect the large intestine. Case presentation We present a rare case of a cecum and ascending colon actinomycosis in a 72 years old woman, mimicking clinically a malignant inflammatory tumor of the right colon. The patient complained of right lower quadrant pain. Although our first thought was a peri-appendiceal abscess, CT scan suggested a right colon tumor. The patient underwent a right colectomy and the histological examination of the specimen revealed colon actinomycosis. Conclusions Preoperative diagnosis in colon actinomycosis is difficult to achieve. Treatment of choice is antibiotics administration. A review of the possible pathogenesis and therapeutic modalities is also presented.
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