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Query: UMLS:C0042963 (vomiting)
31,883 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Abdominal actinomycosis is a subacute/chronic bacterial infection that affects different body regions. A 46-year-old female presenting with intermittent abdominal pain, nausea, vomiting, transient bowel obstruction, weight loss (18 kg), anemia, and hypoalbuminemia was evaluated in our clinic. Physical examination showed diffuse slight tenderness and a relatively fixed tender mass with ill-defined edges localized to the right lower quadrant. We did not make any specific diagnosis after complete laboratory, endoscopic and radiological investigations. We confirmed abdominal actinomycosis after explorative laparotomy and histopathological examination of biopsy specimen taken from the mesenterium and omentum. After long-term penicillin (6 months) treatment, significant clinical and laboratory improvement were observed. In conclusion, abdominal actinomycosis should be considered in the differential diagnosis of chronic inflammatory disease with mass lesion and intestinal obstruction.
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PMID:A rare cause of chronic abdominal pain, weight loss and anemia: abdominal actinomycosis. 1808 Sep 23

The authors present three cases of abdominal actinomycosis that were initially diagnosed as acute appendicitis, an abscess in the left groin and pelvic tumour, probably of gynaecological origin. Definitive diagnosis of abdominal actinomycosis was established as late as postoperatively. Abdominal actinomycosis is a chronic, infectious disease characterized most frequently by non-specific symptoms such as abdominal pain, fever, vomiting, bowel obstruction, weight loss, sometimes palpable resistance, and leukocytosis [1-9]. Diagnosis may be difficult and needs to be taken into account, especially in patients with risk factors.
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PMID:[Abdominal actinomycosis - 3 case reports and literature overview]. 2396 30