{
  "abstract": "A Sudanese man in his 60s presented with a 2-year history of gradually progressive abdominal pain. Two years earlier, he had undergone laparoscopic cholecystectomy for acute cholecystitis, which was complicated by a bile leak treated with stent placement. His chronic abdominal pain began following that procedure. Given worsening pain, he presented to the emergency department with severe abdominal pain rated 10 out of 10. His vital signs were stable, but physical examination revealed generalised abdominal tenderness and guarding. Laboratory tests showed mild transaminitis (aspartate aminotransferase 51 U/L (reference range: 0–40 U/L), alanine aminotransferase 62 U/L (reference range: 0–41 U/L)) and elevated C-reactive protein (3.1 mg/dL (reference range: ≤0.5 mg/dL)). CT with contrast showed four intraperitoneal soft tissue masses ( figure 1).",
  "authors": [
    {
      "affiliations": [
        "Infectious Diseases, Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"
      ],
      "name": "Shinya Hasegawa"
    },
    {
      "affiliations": [
        "Infectious Diseases, Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA"
      ],
      "name": "Jacob Hodges"
    }
  ],
  "title": "Abdominal actinomycosis: a hidden cause of chronic abdominal pain",
  "uid": "b82a52ec-abb0-58f2-96eb-17630ffa6e09"
}