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Keimyung Medical Journal 1998;17(2):284-288.
Pelvic Actinomycosis of Sigmoid Colon Associated with an Intrauterine Contraceptive Device: A Case Report
S상 결장에 발생된 골반내 방선균증 1례
송윤호; 하연옥; 김종인
Abstract
Actinomycosis is a chronic; progressive; suppurative disease characterized by formation of multiple abscesses; draining sinuses; abundant granulation and dense fibrous tissue. Pelvic actinomycosis is being reported with increasing frequency in association with intrauterine contraceptive devices; and the most common organism is Actinomyces israelii found endogenously in the human oral cavity; upper gastrointestinal tract and lower female genital tract. The appearance of sulfur granules in the lesions; sinus walls or discharges of involved tissue is characteristic finding; The changes created by actinomycosis can masquerade as a malignant process that is very difficult to differentiate; often requiring surgical intervention with resection. We experienced a case of pelvic actinomycosis associated with an intrauterine contraceptive device and present the case with brief review of literature.
Key Words: Actinomycosis, Intrauterine contraceptive device
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