Korean Journal of Gastrointestinal Endoscopy 2000;20(4): 307-311.
복부 방사선균증 1예 ( A Case of Abdominal Actinomycosis )
김현(Hyun Kim),이완구(Wan Ku Lee),김세현(Seo Hyun Kim),박승민(Seung Min Pak),김영남(Young Nam Kim),최수진(Su Jin CHoi),김은화(Eun Hwa Kim),최용우(Young Woo Choi),이용웅(Young Ung Lee)
Abstract
Actinomycosis is a chronic suppurative and granulomatous disease caused by actinomyces species and caracterized by sulfur granule formation which frequently discharged via draining sinus. Actinomyces can affect cervicofacial, pulmonary, abdominal and pelvic area. Most of abdominal actinomycosis is developed after abdominal operation, trauma or inflammatory bowel disease and it must be differentiated from colon cancer, amaeboma, chronic appendicitis or intestinal tuberculosis. We report a case of abdominal actinomycosis, preoperatively impressed as colon carcinoma, which was diagnosed by histological study of the operative specimen. Adequate surgical excision and drainage procedure followed by administration of massive dose of penicilline for weeks. In this case we noted secondary abscess formation after surgery of primary disease. Herein we present our experience with reviewed literatures. (Korean J Gastrointest Endosc 2000;20:307-311)
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