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KMID : 0614620020400050343
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Korean Journal of Gastroenterology
2002 Volume.40 No. 5 p.343 ~ p.347
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A Case of Pelvic Actinomycosis Invading the Rectum
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홍기봉/Ki Bong Hong
최석렬/박은희/금동주/김광진/지삼룡/이종훈/한상영/신우원/Seok Ryeol Choi/Eun Hee Park/Dong Joo Keum/Kwang Jin Kim/Sam Ryong Jee/Jong Hoon Lee/Sang Young Han/Woo Won Shin
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Abstract
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Actinomycosis is a rare disease with nonspecific clinical and radiologic findings that are similar to those of other inflammatory and neoplastic conditions. Pelvic actinomycosis has variable clinical manifestations, which makes it difficult to
diagnose
preoperatively. The diagnosis is often based on histologic demonstration of sulfur granules in discharge from the lesion or surgically resected specimen. Colonization of the lower gastrointestinal tract by Actinomyces occurs most frequently in
intrauterine device (IUD) users and increases with the indwelling duration of IUD. It is often treated surgically because pelvic actinomycosis associated with the IUD use resembles pelvic malignancy. However, if the diagnosis of actinomycosis can
be
obtained preoperatively, the antibiotic treatment may lead to complete resolution. We report a case of pelvic actinomycosis invading the rectum in an IUD user, which was diagnosed by colonoscopic biopsy and Papanicolaou smear before operation.
The
rectal lesion was improved by the postoperative antibiotic treatment.
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