| Summary points: | A 51-year-old presents with a 1-month history of constipation, worsening abdominal cramps, nausea and increased abdominal girth but decreased weight, that was previously diagnosed as enterocolitis but that did not respond to fosfamycin. This case report describes the physical exam, laboratory tests, and radiological studies, and includes various images. The authors discuss the appearance of Actinomyces on radiological tests and other diagnostic methods. |