S상 결장에 발생된 골반내 방선균증 1례

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.