A Case of Abdominal Actinomycosis.
- Author:
Hyun KIM
1
;
Wan Ku LEE
;
Seo Hyun KIM
;
Seung Min PAK
;
Young Nam KIM
;
Su Jin CHOI
;
Eun Hwa KIM
;
Young Woo CHOI
;
Young Ung LEE
Author Information
1. Department of Internal Medicine, Presbyterian Medical Center, Cheon-Ju, Korea.
- Publication Type:Case Report
- Keywords:
abdominal actinomycosis;
Sulfur granule
- MeSH:
Abscess;
Actinomyces;
Actinomycosis*;
Appendicitis;
Colon;
Colonic Neoplasms;
Drainage;
Inflammatory Bowel Diseases;
Penicillins;
Sulfur;
Tuberculosis
- From:Korean Journal of Gastrointestinal Endoscopy
2000;20(4):307-311
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Actinomycosis is a chronic suppurative and granulomatous disease caused by actinomyces species and caracterized by sulfur granule formation which frequently discharged via draining sinus. Actinomyces can affect cervicofacial, pulmonary, abdominal and pelvic area. Most of abdominal actinomycosis is developed after abdominal operation, trauma or inflammatory bowel disease and it must be differentiated from colon cancer, amaeboma, chronic appendicitis or intestinal tuberculosis. We report a case of abdominal actinomycosis, preoperatively impressed as colon carcinoma, which was diagnosed by histological study of the operative specimen. Adequate surgical excision and drainage procedure followed by administration of massive dose of penicilline for weeks. In this case we noted secondary abscess formation after surgery of primary disease. Herein we present our experience with reviewed literatures.