An Emergency Right Hemicolectomy for Suspicious Appendiceal Malignancy but Turned Out as an Appendiceal Actinomycosis

Actinomycosis is a rare cause for acute appendicitis or appendiceal abscess specially when there is no pre-existing immunosuppressing disease or medication history. In this case the patient presented with a slightly longer duration of symptoms for acute appendicitis but examination findings, biochemistry and imaging were supportive for an appendicitis rather than a mass or abscess. When underwent for a laparoscopic appendicectomy the appearance of swollen appendix was more suspicious for a malignant mass and had an emergency right hemicolectomy which eventually turned out as Actinomycosis.