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A Case of Abdominal Actinomycosis Presenting as Ileocecal Ulcers and Recurrent Lower Gastrointestinal Bleeding
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Jin Young Park, Sok Won Han, Chang Whan Kim, Tae Ho Kim, Jae Hyuck Chang, Il Ho Maeng, Mi Jeong Lee, Yun Sun Im, Ji Hun Kim, Sung Min Nam
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Intest Res 2012;10(3):309-313. Published online July 31, 2012
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DOI: https://doi.org/10.5217/ir.2012.10.3.309
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 Abstract
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- 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. (Intest Res 2012;10: 0-313)
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