We report a case of intramural gastric actinomycosis and review the fe
atures of the additional 16 cases of this uncommon infection reported
in the literature. The patient had gastrointestinal symptoms, weight l
oss, and fever after gastric operation. At laparotomy, an infiltrating
gastric tumor-like lesion was found. Histology revealed actinomycosis
, and the patient was successfully treated with oral penicillin. Becau
se of its rarity, intramural actinomycosis is an entity overlooked by
most surgeons. Reporting of such cases may help increase the awareness
of this important and curable disease.