| 생선 가시에 의한 소장 천공으로 의심된 복부 방선균증 |
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장원영 |
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제주대학교 의학전문대학원 외과학교실 |
| An abdominal actinomycosis was concurred with small intestine perforation by a suspected fishbone |
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Weon Young Chang |
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Department of Surgery, Jeju National University School of Medicine, Jeju, Korea |
Correspondence:
Weon Young Chang, Email: orkorea@jejunu.ac.kr
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| Abstract |
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A case of an abdominal actinomycosis, seen in a 41-year-old woman, which concurred small intestine perforation suspected to be the result of a fishbone. The patient complained of able tender mass in the right lower quadrant. Explorative laparotomy was performed under a diagnosis of localized abscess. An inflammatory tumor of small intestine mesentery involving the distal ileum and cecum was treated by ileocecectomy. The resected specimen showed small intestine perforation with abscess, which was histologically diagnosed as actinomycosis but we were not able to find any fishbones. We will discuss possible pathogenesis and the therapeutic modalities. |
| Key Words:
Abdominal actinomycosis; Fishbone; Small intestine perforation |
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