골반강내 방선균증: 술 전 진단이 가능한가?
Pelvic Actinomycosis: Is It Possible to Diagnose Preoperatively?
황홍필, 이민로, 김종헌, 이민로,
소속 상세정보
황홍필 ( Hwang Hong-Pil )
전북대학교 의과대학 외과학교실
이민로 ( Lee Min-Ro )
전북대학교 의과대학 외과학교실
김종헌 ( Kim Jong-Hun )
전북대학교 의학전문대학원 외과학교실
이민로 ( Lee Min-Ro )
전북대학교 의학전문대학원 외과학교실
KMID : 0356720070230060437
Abstract
Purpose: Pelvic actinomycosis is a rare infection which presents difficulty in establishing a correct preoperative diagnosis. The aim of this study is to find diagnostic clues for pelvic actinomycosis preoperatively.
Methods: A retrospective analysis performed at Chonbuk National University Hospital identified 9 patients with a diagnosis of pelvic actinomycosis from 1998 to 2006.
Results: All patients were women with a history of intrauterine device (IUD) use. Abdominal pain (7 cases), palpable mass (3 cases), defecation difficulty (3 cases) and leucorrhea (2 cases) were the main presenting complaints. The median duration of presenting symptoms was 78 days (range: 10∼365 days). The median duration of using an IUD unchanged was 11 years (range: 4∼30 years). A correct diagnosis was made in 3 patients (33%) without exploration. All patients were treated with antibiotics after pathologic diagnosis. There was no recurrence.
Conclusions: It is very difficult to diagnose pelvic actinomycosis preoperatively. Howere, if a mass or a pelvic abscess is found in women with an IUD that has been unchanged for a long time, pelvic actinomycosis should be suspected to avoid unnecessary exploration. J Korean Soc Coloproctol 2007;23:437-440
키워드
골반강내 방선균증;자궁내 피임장치
Pelvic actinomycosis;Intrauterine device
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