Journal Search Engine
Search Advanced Search Adode Reader(link)
Download PDF Export Citaion korean bibliography PMC previewer
ISSN : 1225-0082(Print)
ISSN : 2288-1905(Online)
The Medical Journal of Chosun University Vol.38 No.1 pp.12-14

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)


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.


1.Choi JW, Lee TB, Hwang SH, Kim BH. A rare case of actinomycosis in nasal cavity with aspergillus sinusitis. Korean J Otolaryngol-Head Neck Surg 1997; 40: 1844-7.
2.Bennhoff DF. Actinomycosis: diagnostic and therapeutic considerations and a review of 32 cases. Laryngoscope 1984; 94: 1198-217.
3.Choi CK, Rim HK, Kim JS, Rim JS. A case of urachal actinomycosis. Korean J Urol 2000; 41: 183-6.
4.Lee SH, Kim KH, Kim JS, Kim MW, Lee HM, Lee KH, Ahn HJ. A case of actinomycosis involving urachal remnant. Korean J Urol 1999; 40: 1714-6.
5.Lee HJ, Oh GS, Seo JB, Chung MK. Urachal Actinomycosis: report of a case. Korean J Urol 1999; 40: 933-6.
6.Fradis M, Zisman D, Podoshin L, Wellisch G. Actinomycosis of the face and neck. Arch Otolaryngol 1976; 102: 87-9.
7.Scott A, Stansbie JM. Actinomycosis presenting as a nasopharyngeal tumor: a case report J Laryngol Otol 1997; 111: 163-5.
8.Hsiao HL, Shen JT, Yeh HV, Wu WJ, Wang CJ, Huang CH. Intra- and extra-abdominal actinomycosis mimicking urachal tumor in an intrauterine device carrier: a case report. Kaohsiung J Med Sci 2008; 24: 35-40.
9.Deshmukh N, Heaney SJ. Actinomycosis at multiple colonic sites. Am J Gastroenterol 1986; 81: 1212-4.
10.Mali B, Joshi JV, Wagle U, Hazari K, Shah R, Chadha U, Gokral J, Bhave G. Actinomycosis in cervical sme-ars of women using intrauterine contraceptive devices. Acta Cytol 1986; 30: 367-71.
11.Garner JP, Macdonald M, Kumar PK. Abdominal actinomycosis. Int J Surg 2007; 5: 441-8.
12.Sharkawy AA. Cervicofacial actinomycosis and mandibular osteomyelitis. Infect Dis Clin North Am 2007; 21: 543-56.
13.Hwang JY, Park SY, Lee SY. A case of cervical actinomycosis misdiagnosed to malignant tumor. Korean J Otorhinolaryngol-Head Neck Surg 2011; 54: 427-30.
14.Burns BV, al-Ayoubi A, Ray J, Schofield JB, Sho-tton JC. Actinomycosis of the posterior triangle: a case report and review of the literature. J Laryngol Otol 1997; 111: 1082-5.
15.Yeung VH, Wong QH, Chao NS, Leung MW, Kwok WK. Thoracic actinomycosis in an adolescent mimicking chest wall tumor or pulmonary tuberculosis. Pediatr Surg Int 2008; 24: 751-4.
16.Lim KT, Moon SJ, Kwon JS, Son YW, Choi HY, Choi YY, Pyo JY, Park YW, Moon HS. Urachal actionmycosis mimicking a urachal tumor. Korean J Urol 2010; 51: 438-40.
17.Al-Kadhi S, Venkiteswaran KP, Al-Ansari A, Shamsudini A, Al-Bozom I, Kiliyanni AS. Primary vesical actionmycosis: a case report and literature review. Int J Urol 2007; 14: 969-71.
18.Filipovic B, Milinic N, Nikolic G, Ranthelovic T. Primary actinomycosis of the anterior abdominal wall: case report and review of the literature. J Gastro-enterol Hepatol 2005; 20: 517-20.