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항생제로 치료한 복부-골반 방선균증-2례

Abdominopelvic Actinomycosis Treated with Antibiotic Therapy - 2 Cases Report

건양의대학술지 2008년 8권 1호 p.26 ~ 29
나유미, 목우균,
소속 상세정보
나유미 ( Ra Yu-Mi ) - 건양대학교 의과대학 외과학교실
목우균 ( Mok Woo-Kyun ) - 건양대학교 의과대학 외과학교실

Abstract


40 and 46-year-old women presented to the ambulant clinic complaining of abdominal pain. They inserted an IUD into the uterus 5 and 14 years ago. Computed tomography (CT) scans of abdomen findings suggested evidence of actinomycosis. Drainage & dressing was performed. Intravenous penicillin was administered for several weeks, followed by oral penicillin therapy for several months. Throughout the treatment period, the patient experienced significant symptomatic improvement. Follow-up CT imaging studies confirmed a decrease in the size of the mass and became the normality after last 1 years. These cases diagnosed the abdomino-pelvic actinomycosis with the past history of the IUD, clinical aspect and CT finding. According to literature, we chose the long-term antibiotic therapy with percutaneous drainage where is not the extensive operation.

키워드

Actinomycosis;IUD;CT;Antibiotic therapy

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