The Colonic Obstruction Due to Actinomycosis.
- Author:
Ryung Ah LEE
;
Ho Seong HAN
;
Ok Young KIM
- Publication Type:Original Article
- Keywords:
Actinomycosis;
Colon obstruction
- MeSH:
Abdominal Wall;
Abscess;
Actinomycosis*;
Colon*;
Colon, Transverse;
Communicable Diseases;
Fistula;
Humans;
Inflammation;
Intrauterine Devices;
Penicillins;
Tomography, X-Ray Computed
- From:Journal of the Korean Society of Coloproctology
1998;14(3):649-654
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
