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Intest Res > Volume 10(3); 2012 > Article
Intestinal Research 2012;10(3):309-313.
DOI: https://doi.org/10.5217/ir.2012.10.3.309    Published online July 31, 2012.
A Case of Abdominal Actinomycosis Presenting as Ileocecal Ulcers and Recurrent Lower Gastrointestinal Bleeding
Jin Young Park, Sok Won Han, Chang Whan Kim, Tae Ho Kim, Jae Hyuck Chang, Il Ho Maeng, Mi Jeong Lee, Yun Sun Im, Ji Hun Kim, Sung Min Nam
Department of Internal Medicine, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea
회맹부 궤양과 재발성 하부 위장관 출혈로 나타난 복부 방선균증 1예
박진영, 한석원, 김창환, 김태호, 장재혁, 맹일호, 이미정, 임윤선, 김지훈, 남성민
가톨릭대학교 부천성모병원 내과학교실
Abstract
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. (Intest Res 2012;10: 0-313)
Key Words: Actinomycosis, Gastrointestinal Hemorrhage
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