Actinomycosis mimicking recurrent carcinoma after Whipple's operation.
Actinomycosis is a rare, chronic, spreading, suppurative, granulomatous and fibrosing infection. Actinomyces are normal inhabitants of the oral cavity and gastrointestinal tract. They rarely cause disease and are seldom reported as pathogens. Herein, we reported on a 69-year-old male patient who had undergone Whipple's operation due to ampulla Vater carcinoma, and became infected with actinomycosis at the pancreaticojejunostomy, which mimicked a recurrent malignancy. He was treated with radical resection of the mass at the pancreaticojejunostomy and had an uneventful postoperative course.
Hsu
Jun-Te
JT
Department of General Surgery, Chang Gung Memorial Hospital, Kweishan, Taoyuan, Taiwan, China.
Lo
Hung-Chieh
HC
Jan
Yi-Yin
YY
Chen
Han-Ming
HM
D000196:Actinomycosis / Q000175:diagnosis*; D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D010193:Pancreaticojejunostomy; D011183:Postoperative Complications / Q000175:diagnosis* / Q000382:microbiology