A Case of Abdominal Actinomycosis Presenting as Ileocecal Ulcers and Recurrent Lower Gastrointestinal Bleeding
Intestinal Research
;
: 309-313, 2012.
Article
in Korean
| WPRIM
| ID: wpr-45078
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sulfur
/
Tuberculosis
/
Ulcer
/
Biopsy
/
Actinomycosis
/
Crohn Disease
/
Abdominal Pain
/
Cecum
/
Colonoscopy
/
Colon
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Intestinal Research
Year:
2012
Type:
Article
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