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방선균증에 의한 대장 폐쇄증 1예 보고

The Colonic Obstruction Due to Actinomycosis

대한대장항문학회지 1998년 14권 3호 p.649 ~ 654
이령아 ( Lee Ryung-Ah ) - 이화여자대학교 의과대학 외과학교실

한호성 ( Han Ho-Seong ) - 이화여자대학교 의과대학 외과학교실
김옥영 ( Kim Ook-Young ) - 이화여자대학교 의과대학 외과학교실


Abdominal actinomycosis is very rare infectious disease and seldom reported as a cause of abdominal mass. This disease is diagnosed by pathologic findings and culture result but it is very difficult to differentiate with other granulomatous illammatory disease, diverticular disease, malignancy, etc. The radiologic findings were non-specific and CT scan revealed the inflammatory mass with multiple small abscesses and fibrous change. The treatment of choice for actinomycosis is medical treatment with penicillin but surgical intervention may be needed when complication such as obstruction, fistula formation, abscess formation develop. We report a patient with abdominal actinomycosis that presented with transverse colonic obstruction and severe abdominal wall inflammation. This patient had no past operative history but got intrauterine contraceptive devices during last 10 years. We treated this patient by surgical resection and antibiotic therapy.


Actinomycosis;Colon obstruction
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