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KMID : 0988920120100030309
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Intestinal Research
2012 Volume.10 No. 3 p.309 ~ p.313
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A Case of Abdominal Actinomycosis Presenting as Ileocecal Ulcers and Recurrent Lower Gastrointestinal Bleeding
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Park Jin-Young
Han Sok-Won
Kim Chang-Whan
Kim Tae-Ho
Chang Jae-Hyuck
Maeng Il-Ho
Lee Mi-Jeong
Im Yun-Sun
Kim Ji-Hun
Nam Sung-Min
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Abstract
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Abdominal actinomycosis is a rare chronic suppurative infection that is difficult to diagnose precisely without an operation. It also tends to be misdiagnosed as a malignancy, intestinal tuberculosis, diverticular disease, or Crohn’s disease. A 54-year-old man presented with loose stools, hematochezia, and vague abdominal pain in the right lower quadrant. He had had a history of hematochezia and recurrent colon ulcers on colonoscopy seven times within the past 3 years. A colonoscopy at admission revealed multiple, variably sized and shaped ulcerations in the terminal ileum, cecum, and ascending and transverse colons. Biopsies from the cecal ulcer demonstrated sulfur granules. This is the first cases of abdominal actinomycosis presenting as a recurrent lower gastrointestinal hemorrhage due to ileocolic ulcerations in Korea.
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KEYWORD
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Actinomycosis, Gastrointestinal Hemorrhage
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