Abstract
A case of a periappendiceal actinomycosis, seen in an 83-year-old woman, clinically mimicking a right ovarian neoplasm penetrating the right colon, is presented. The patient's complaints led to the discovery of a right abdominal mass. Explorative laparotomy and right hemicolectomy were done. Histological examination revealed periappendiceal actinomycotic abscesses. We discuss a possible pathogenesis and the therapeutic modalities.
MeSH terms
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Abscess / microbiology
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Abscess / pathology
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Actinomyces / isolation & purification*
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Actinomyces / pathogenicity
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Actinomycosis / complications
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Actinomycosis / diagnosis*
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Actinomycosis / therapy
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Aged
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Aged, 80 and over
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Anti-Bacterial Agents / therapeutic use
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Appendectomy
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Appendix / pathology*
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Cecal Diseases / diagnosis*
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Cecal Diseases / microbiology
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Cecal Diseases / therapy
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Cefotaxime / therapeutic use
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Diagnosis, Differential
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Drug Therapy, Combination
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Female
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Humans
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Metronidazole / therapeutic use
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Ovarian Neoplasms / diagnosis*
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Tomography, X-Ray Computed
Substances
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Anti-Bacterial Agents
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Metronidazole
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Cefotaxime