PMC2931611_01
Complete excision of the actinomycotic anterior abdominal wall mass including the affected abdominal wall structures (left arrow) and the adjacent omentum (right arrow).
CRM2010-340109.001.jpg
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fig1
Following an abdominal transverse incision, intraoperative findings revealed a fibrotic mass of 12 x 13 cm within all layers of the anterior abdominal wall (Figure 1).
(a) Colonies of actinomyces with surrounding active chronic inflammatory cells and diffuse fibrosis (hematoxylin and eosin, x40), and (b) the same focus containing the filamentous colonies of actinomyces (x400).
CRM2010-340109.002.jpg
PMC2931611_01_CRM2010-340109.002.jpg
fig2
Histopathological examination showed acute and chronic inflammatory changes due to actinomycotic colonies (Figure 2).