Korean J Gastrointest Endosc > Volume 27(2); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;27(2): 84-87.
대장암으로 오인된 복부 방선균증 1예
신정은·정성애·김성은·백수정·오희정·조유경·백승연*·유 권·문일환
이화여자대학교 의과대학 내과학교실, *방사선과학교실
A Case of Abdominal Actinomycosis Mimicking Colon Carcinoma
Jeong Eun Shin, M.D., Sung-Ae Jung, M.D., Seong-Eun Kim, M.D., Su Jung Baik, M.D., Hee Jung Oh, M.D., You Kyoung Cho, M.D., Seung Yon Baek, M.D.*, Kwon Yoo, M.D. and Il-Hwan Moon, M.D.
Departments of Internal Medicine and *Radiology, Ewha Womans University College of Medicine, Seoul, Korea
Abstract
Actinomycosis is a chronic suppurative and granulomatous-disease caused by Actinomycosis israelli. Clinical presentation of the abdominal form of actinomycosis is nonspecific-pain, fever, leukocytosis, increased erythrocyte sedimentation rate, a sensation of abdominal mass and a formation of fistula. In addition, abdominal actinomycosis may mimic a carcinoma, diverticular abscess, inflammatory bowel disease, and tuberculosis. Most of abdominal actinomycosis develops after trauma, appendicitis, diverticulitis or gastrointestinal perforation. We report a case of abdominal actinomycosis preoperatively mimicking as colon carcinoma, which had no predisposing factors. (Korean J Gastrointest Endosc 2003;27:84⁣87)
Key Words: Actinomycosis, Colon carcinoma
주요어: 방선균증, 대장암
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