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<p><i>Actinomyces israelii</i> is a filamentous, gram-positive anaerobic bacterium that is commonly found in the upper gastrointestinal tract, colon, and female genital tract. They can acquire pathogenicity after a breach in mucosal integrity in unusual circumstances. While abdominal infection itself is rare, pancreatic actinomycosis is very rare with only 20 cases being reported in world literature. We report a case of actinomycosis of the pancreatic head mimicking chronic grove pancreatitis with a stone in the main pancreatic duct in a 32-year Indian lady after a prior hepatobiliary and upper gastrointestinal surgery. The recurrent attacks necessitated a Pancreatoduodenectomy. The histology confirmed Actinomycosis.</p>

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A Case of Actinomycosis of the Pancreas Mimicking Chronic Groove Pancreatitis

  • 期刊论文

  • 发表日期：

    2026年3月21日

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  • Sanjay De Bakshi,
  • Ajay Mandal,
  • Swati Banerjee,
  • Minakshi Karmakar

摘要

Actinomyces israelii is a filamentous, gram-positive anaerobic bacterium that is commonly found in the upper gastrointestinal tract, colon, and female genital tract. They can acquire pathogenicity after a breach in mucosal integrity in unusual circumstances. While abdominal infection itself is rare, pancreatic actinomycosis is very rare with only 20 cases being reported in world literature. We report a case of actinomycosis of the pancreatic head mimicking chronic grove pancreatitis with a stone in the main pancreatic duct in a 32-year Indian lady after a prior hepatobiliary and upper gastrointestinal surgery. The recurrent attacks necessitated a Pancreatoduodenectomy. The histology confirmed Actinomycosis.