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Correspondence
Omental actinomycosis presenting with right lower quadrant abdominal pain
  1. J Abela1,
  2. J Sciberras2,
  3. M Meilak2,
  4. A G Felice2,
  5. J Degaetano3
  1. 1Lister Department of Surgery, Glasgow Royal Infirmary, Glasgow G4 0SF, UK; jeabela@hotmail.com
  2. 2Department of Surgery, St Luke’s Hospital MSD09, Malta
  3. 3Department of Pathology, St Luke’s Hospital

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      A previously healthy 21 year old man presented with a two day history of worsening right lower quadrant abdominal pain. On examination he was found to have a fever (39°C) and his pulse rate was 110 beats/minute. There was tenderness with muscle guarding in the right lower quadrant, which worsened after a period of observation. Basic haematology and biochemistry tests were normal. Plain x rays of the chest and abdomen were also normal.

      A diagnosis of acute appendicitis was made and the patient was transferred for emergency appendicectomy. The appendix proved to be macroscopically normal but a hard and fairly mobile mass …

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