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KMID : 0378019670100090103
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New Medical Journal
1967 Volume.10 No. 9 p.103 ~ p.106
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A Case of Actinomycosis in the Abdominal Wall
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李允錫/Lee, Yoon Suk
金智煥/李憲桂/李有福/Kim, Chi Whan/Lee, Hun Joo/Lee, Yoo Bock
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Abstract
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A case of actinomycosis in the abdominal wall of a 62 years old female is reported. The patient complained of a tender egg-sized palpable mass at lower abdominal wall for four months prior to admission followed by cough, anorexia, and generalized weakness during the last one month prior to the admission. Physical examinations showed an egg-sized mass at the midline of the abdominal wall just below the umbilicus. Under the clinical impression of a tumor in the abdominal wall, the lesion was surgically removed. At the operation the mass measured 5.O X 5.0 X 4.0 cm involving entire thickness of the abdominal wall extending hypochondriac region upward and behind the urinary bladder downward. But all abdominal viscera appeared to be within normal limit. Gross and microscopic examinations showed multiple abscesses formation with chronic suppurative non-specific inflammatory reaction involving subcutaneous fat and underlying muscle layer, containing radiating filamentous fungal clusters within abscesses.
The lesion in the abdominal wall is apparently secondary but no primary site is identified since there were no abnormality in oral cavity and abdominal viscera.
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