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KMID : 1148020130380010012
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조선대학교의대논문집
2013 Volume.38 No. 1 p.12 ~ p.14
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A Case of Abdominal Actinomycosis Mimicking a Urachal Malignancy
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Km Jin-Woo
Kim Bo-Bae
Kim Seong-Jung
Chung Choon-Hae
Park Chi-Young
Park Sang-Gon
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Abstract
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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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KEYWORD
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Actinomycosis, Intrauterine contraceptive device, Sulfur granule, Urachal cancer
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