Abstract
We present a case of intramural gastric actinomycosis, diagnosed following subtotal gastrectomy performed for clinical idiopathic gastroparesis. Prior to the surgery the 76-year-old male had experienced 12 months of intermittent vomiting, melena, and weight loss, with a medical history significant for type 2 diabetes mellitus and cholecystectomy. Serial upper gastrointestinal endoscopy showed features of gastric outlet obstruction, including an oedematous and narrowed pyloric region, and associated residual food in the stomach.
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