1.Abdominal Actinomycosis Associated with a Sigmoid Colon Perforation in a Patient with a Ventriculoperitoneal Shunt.
Eun Young JUNG ; Su Nyoung CHOI ; Dong Jun PARK ; Jin Jong YOU ; Hyun Jung KIM ; Se Ho CHANG
Yonsei Medical Journal 2006;47(4):583-586
Abdominal actinomycosis causing hydronephrosis in a patient with a ventriculoperitoneal shunt is very rare. A 27- year-old female patient was admitted complaining of lower abdominal pain. She had undergone ventriculoperitoneal shunt surgery 10 years ago. Abdominal Ultrasonography and a CT scan demonstrated an inflammatory mass in the lower left quadrant of the abdomen causing obstructive hydroureter and hydronephrosis. Laparotomy revealed a diffusely infiltrating mass involving the small bowel, mesentery, and sigmoid colon, and a 1cm perforation in the sigmoid colon. Actinomycosis was diagnosed upon histological examination. After treatment with antibiotics and surgery, the patient's condition improved.
Ventriculoperitoneal Shunt
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Ultrasonography
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Treatment Outcome
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Tomography, X-Ray Computed
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Intestinal Perforation/*diagnosis
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Inflammation
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Humans
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Female
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Colon, Sigmoid/*injuries/*pathology
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Adult
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Actinomycosis/*diagnosis
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Abdominal Pain