Pancreatic Actinomycosis as a Cause of Retroperitoneal Fibrosis in a Patient with Chronic Pancreatitis. Case Report and Literature Review
Abstract
Context Chronic alcoholic pancreatitis is a debilitating disease that is often complicated by pseudotumoral changes of the pancreas, retroperitoneal fibrosis, and pancreatic cancer. Actinomycosis is an uncommon intra-abdominal infection and its association with chronic pancreatitis has been rarely reported. Case report We present a case of a patient with progressive long standing chronic pancreatitis who develops pseudo-tumoural changes and retroperitoneal fibrosis associated with actinomycosis. Conclusion This is a rare presentation of actinomycosis, posing a diagnostic challenge to the clinician, with important therapeutic implications.
Image: Basophilic spherical mass with a radiating border of eosinophilic clubs.
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Copyright (c) 2010 Samir John Sahay, Hector Daniel Gonzalez, Tu Vinh Luong, Sakhawat Hussain Rahman
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