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Introduction: Colonic actinomycosis is an uncommon chronic infection associated with granulomatous inflammation resulting multiple abscesses and sinuses. Common modes of presentation include weight loss, malaise, abdominal pain, and abdominal mass, which might mimic neoplasia.

Case Presentation: A 60-year-old female presented with painful lump in right iliac fossa (RIF) for 3 weeks and acute complete bowel obstruction for 3 days.

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Article Synopsis
  • Abdominal actinomycosis is a rare infection, often misdiagnosed, caused by bacteria normally found in the oral cavity and gut, which can lead to conditions that mimic serious abdominal issues, including cancers.
  • A case study of a 59-year-old male with existing health problems showed how he was initially misdiagnosed with appendicitis but was later found to have actinomycosis during surgery.
  • The patient received successful treatment through surgery and penicillin, illustrating the need for healthcare providers to consider abdominal actinomycosis when diagnosing abdominal pain and masses.
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Objective: This study aims to assess the clinical, radiological, and histological characteristics of Actinomyces infection identified in appendectomy specimens.

Material And Methods: Between January 2013 and November 2023, 5834 patients underwent appendectomy in our clinic, and their pathology reports were retrospectively reviewed.

Results: Actinomyces appendicites were reported in 14 specimens (0.

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Introduction: Actinomycosis is an uncommon bacterial infection caused by bacteria that typically progresses slowly and leads to the formation of masses. Although it commonly affects the cervicofacial area, about 20% of cases occur in the abdominopelvic region. Because the disease can be mistaken for a tumour due to its infiltrative mass-like nature on imaging, over 90% of cases are only diagnosed following surgery and histological confirmation.

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Actinomycetes are commensal inhabitants of the oral cavity and gastrointestinal tract that can acquire pathogenicity through invasion of injured mucosa. Appendix and ileocecal regions are the most common sites involved in abdominal actinomycosis. We report a case of unusual site actinomycosis, in the recto-sigmoid colon, presenting with abdominal pain and diarrhea after one year of partial sigmoid colectomy.

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