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Abdominopelvic Actinomycosis Tomoyuki Ohta 1 , Masanori Murakami 1 , Yutaka Orii 1 , Yusuke Saitoh 2 , Yutaka Kohgo 2 1Department of Gastroenterology, Asahikawa Kosei Hospital 2Third Department of Internal Medicine, Asahikawa Medical College Keyword: 放線菌症 , 画像診断 , 注腸X線所見 , 超音波内視鏡所見 pp.389-394
Published Date 2002/2/26
DOI https://doi.org/10.11477/mf.1403103463
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 Actinomycosis is a chronic suppurative disease caused by an anaerobic bacterium, most commonly Actinomyces Israelii, invading from the gastrointestinal mucosa. It has become more prevalent recently. Several cases have been reported associated with the use of intrauterine contraceptive devices (IUD), and penetration by fish bones. Clinical symptoms are non-specific, generally including abdominal pain and fever, rarely abdominopelvic mass or fistulization. Barium enema, endoscopy, and computed tomography can be helpful for its diagnosis, because this disease consists of an extraluminal inflammatory mass infiltrating to the intestinal wall. Actinomycosis is frequently misdiagnosed as diverticulitis, mesenteric panniculitis, diffuse infiltrating colonic cancer, malignant lymphoma, or metastatic colonic tumor. The identification of sulfur granules from resected specimens or abscesses is conclusive evidence for a diagnosis of actinomycosis. The treatment that has been reported for actinomycosis is long-tem maintenance of penicillin after surgical excision of the affected tissues. This treatment has resulted in a high cure rate.


Copyright © 2002, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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