查看文章

Discussion

Abdominal actinomycosis is a rare and insidious clinical entity. 1, 2 It should be considered in the diagnosis of a patient who presents with nonspecific symptoms and signs including fever, a palpable mass and leukocytosis. 2 Recognized causal associations include a history of appendicitis, diverticulitis, inflammatory bowel disease, use of an intrauterine contraceptive device and open or laparoscopic surgery. 3 Abdominal actinomycosis should be differentiated from Crohn disease, ulcerative colitis, diverticulitis, neoplasms, intestinal tuberculosis and appendicitis. 2, 4 We thought that the source of actinomycosis in our patient was the long-term use of an intrauterine contraceptive device.