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KMID : 0378120020290010243
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Chungnam Medical Journal
2002 Volume.29 No. 1 p.243 ~ p.249
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A Case of Abdominal Actinomycosis Initially Considered As a Cecal Cancer
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Shin Bong-Seok
Kim Hong-Min
Song Yeong-Wook
Lee Sang-Mi
Kim Chang-Won
Chung Sin-Hong
Lee Moon-Sook
Lee Gye-Sung
Lee Heon-Young
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Abstract
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Actinomycosis is a chronic suppurative and granulomatous disease caused by actinomyces species especially A. israelii. It is a relative infrequent disease and often difficult to diagnose because of no reliable clinical and radiologic findings. It is usually considered as a colon cancer, periappendiceal abscess, chronic appendicitis or intestinal tuberculosis. The diagnosis is usually made during exploratory laparotomy by staining of characteristic sulfur granules from surgically resected specimen and culture of actinomyces israelii. Treatment consists of long-term antibiotic therapy and surgical resection of infected lesion with antibiotic therapy. We report a case of abdominal actinomycosis, preoperatively impressed as a cecal cancer, which was diagnosed by histological study of the operative specimen.
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KEYWORD
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Abdominal actinomycosis, Sulfur granule, Colon cancer
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