Korean J Gastrointest Endosc > Volume 25(6); 2002 > Article
Korean Journal of Gastrointestinal Endoscopy 2002;25(6): 461-465.
대장내시경 생검을 통해 진단된 복부 방선균증 1예
김동욱·한동수·이항락·김진배·박준용·이오영·전용철·손주현·윤병철·최호순·함준수
한양대학교 구리병원 소화기내과, 소화기연구소
A Case of Abdominal Actinomycosis Confirmed by Colonoscopic Biopsy
Dong Uk Kim, M.D., Dong Soo Han, M.D., Hang Lak Lee, M.D., Jin Bae Kim, M.D., Joon Yong Park, M.D., Oh Young Lee, M.D., Yong Cheol Jeon, M.D., Joo Hyun Sohn, M.D., Byung Cheol Yoon, M.D., Ho Soon Choi, M.D. and Joon Soo Hahm, M.D.
Institute of Digestive Disease, Hanyang University College of Medicine, Kuri Hospital, Guri, Korea
Abstract
Actinomycosis is a chronic pyogenic granulomatous disease, defined as infection caused by gram-positive anaerobic Actinomyces, mainly Actinomyces Israelii. It colonize in human oral cavity, gastrointestinal tract, or genital tract of female, and characterized by lesion that secretes sulfur granules. Generally, abdominal actinomycosis shows chronic disease progression without any typical clinical symptoms, sometimes forming an inflammatory mass within the abdominal cavity. Due to this fact, it is frequently mistaken as malignant neoplasm, diagnosed only after operation. We report this case after diagnosing abdominal actinomycosis without an open abdominal surgery ; colonoscopy and biopsy was carried out in a patient with mucosal changes and luminal narrowing of transverse colon on colon study, ultimately diagnosing abdominal actinomycosis without an open abdominal surgery. (Korean J Gastrointest Endosc 2002;25:461⁣465)
Key Words: Abdominal actinomycosis, Colonoscopy
주요어: 복부 방선균증, 대장내시경, 황과립
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