Nadir Bir Akut Batın Nedeni; Omental Kek Bulgusunu Taklit Eden Batın İçi Aktinomikoz Olgusu

Abstract

Actinomycosis is a rare infectious disease characterized by endogenous, chronic and suppurative inflammation in various mucosa caused by gram-positive anaerobic bacilli from the actinomycetaceace family, which are a member of the gastrointestinal and genital system flora. There are multiple possible focuses. The most frequently identified focuses are oro-cervicofacial (55%) and abdominal pelvic (20%) focuses. Formation of abdominopelvic focuses is often associated with a history of perforated appendicitis or long-term use of the intrauterine device. Here, a 48-year-old woman presenting with abdominal pain who had acute abdominal findings, had a 7 cm mass in the hepatic flexure of the colon and whose pathology report was reported as actinomycosis after a laparotomy and omentectomy were performed, was presented. Omental cake appearance is a condition that occurs due to involvement of omentum by a malignancy that develops in any organ or due to the malignancies of the omentum that develop from their own tissues, especially the peritoneum. By presenting this case, we wanted to emphasize that the omental cake finding might also be related to infectious causes besides malignancies and should be brought to mind in differential diagnosis.

Keywords

• actinomyces
• omentum
• abdominal pain