A Case of Small Bowel Mesenteric Actinomycosis Forming a Mesenteric Abscess

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  • KURIHARA Shusuke
    Department of Surgery, Mito Medical Center, National Hospital Organization
  • YAMAKAWA Junki
    Department of Surgery, Mito Medical Center, National Hospital Organization
  • INADOME Yukinori
    Department of Pathology, Mito Medical Center, National Hospital Organization
  • KATO Takehito
    Department of Surgery, Mito Medical Center, National Hospital Organization

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Other Title
  • 腸間膜膿瘍を形成した小腸間膜放線菌症の1例
  • チョウ カンマク ノウヨウ オ ケイセイ シタ ショウチョウ カンマク ホウセンキンショウ ノ 1レイ

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Abstract

<p>An 81-year-old man who had been aware of right lower quadrant pain for one month was brought into our hospital by ambulance because the pain became worse from one week before. Following close exploration, emergency operation was decided with a diagnosis of mesenteric abscess. We performed partial resection of the small intestine, with adjuvant chemotherapy. A culture did not isolate Actinomyces, but histopathological findings disclosed actinomyces druse within the mesenteric abscess. We diagnosed the case as small bowel mesenteric actinomycosis. Actinomycosis is relatively rare, and especially it is very rare when the disease affects the mesentery of the small intestine like in our case presented here.</p>

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