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ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.1 pp.12-14
DOI :

요막관종양으로 오진한 복부 방선균증 증례

김진우, 김보배, 김성중, 정춘해, 박치영, 박상곤*
조선대학교 의학전문대학원 내과학교실

A Case of Abdominal Actinomycosis Mimicking a Urachal Malignancy

Sang Gon Park*, Jin Woo Kim, Bo Bae Kim, Sung Jung Kim, Choon Hae Chung, Chi Young Park
Department of Internal Medicine, College of Medicine, Chosun University
(Received November 30, 2012; Accepted March 15, 2013)

Abstract

Actinomycosis is a rare disease caused by the Gram-positive anaerobic filamentous bacterium, Actinomyces israelii. Due toits unusual clinical presentation, it is mainly diagnosed postoperatively. The risk of the disease increases with the use ofintrauterine contraception device (IUD). A 46-year-old female was admitted to the hospital due to diffuse lower abdominalpain and had used an IUD until two weeks ago. Findings on abdominal computed tomography showed a large mass measuringapproximately 9 cm, which was suspected of urachal cancer or omental sarcoma. After wide surgical resection, pathologicfinding showed severe inflammation with sulfur granule, confirming abdominal actinomycosis.

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