Paradox of aggressive benignity in abdominal wall

Actinomycosis is a rare chronic bacterial suppurative infection caused by Gram-positive anaerobic bacilli belonging to Actinomyces spp. Actinomyces israelii is the most common organism causing human infections. Normally actinomycetes are seen as commensals in the oropharynx, gastrointestinal, and female urogenital system, and hence, cervicofacial, bowel, and pelvic actinomycosis are commonly encountered. Primary abdominal wall actinomycosis is a very rare presentation.