Abstract

A 71-year-old man was referred to the department because of a painful tumor of the right lower abdomen. Abdominal ultrasonography, barium enema study, and abdominal CT offered a suspecion of abdominal abscess caused by appendicitis or some malignant tumor of the large intestine. Emergency operation was carried out. The appendix was solid, swelled like a club, and was buried in the surrounding tissue. The excised specimen revealed no tumorous change. It was diagnosed as periappendicular abscess. On histopathological specimen an abscess formation around a grain of actinomycosis as the center was seen. Definitively the patient was diagnosed with periappendicular actinomycosis.

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