Two Cases Of The Pelvic Actinomycosis Associated With The Intestinal Obstruction.
- Author:
Joo Hee YOON
1
;
Sang Hee LEE
;
Hwa Jeong SON
;
Mi Young JEONG
;
Sok Won KIM
;
Jin Woo KIM
;
Ku Teak HAN
;
Ki Sung RYU
Author Information
1. Department of Obstetrics and Gynecology, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Pelvic actinomycosis;
intestinal obstruction;
intrauterine contraceptive device (IUD)
- MeSH:
Actinomyces;
Actinomycosis*;
Anti-Bacterial Agents;
Diagnosis;
Fungi;
Gastrointestinal Tract;
Humans;
Intestinal Obstruction*;
Intrauterine Devices;
Laparotomy;
Mouth;
Prognosis;
Risk Factors;
Skin;
Sulfur
- From:Korean Journal of Obstetrics and Gynecology
2002;45(8):1396-1401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pelvic actinomycosis is a chronic, progressive, granulomatous and suppurative disease caused by an anaerobic or microaerobic Gram-positive organism, not fungi. Actinomyces species exhibit branching, filamentous growth and appear in the human skin, oral cavity, gastrointestinal tract. Actinomyces infection in human is relatively rare, however, prolonged use of an intrauterine contraceptive device (IUD) is a well known risk factor of pelvic actinomycosis. Pelvic actinomycosis can mimick pelvic malignancy leading to mutilating surgical excision, and diagnostic problems necessitated a laparotomy in many patients. The pathohistological diagnosis is based on the characteristic microscopic image and specific staining of sulfur granule. Adequate surgical excision and administration of antibiotics show good prognosis. We experienced 2 cases of pelvic actinomycosis with the intestinal obstruction, confirmed patho- histologically after laparotomy.
