저자들은 본 을지병원 산부인과에 입원한 환자에서 조직검사 소견으로 대장과 대망 자궁부속기에 발생한 방선균증 1례를 경험하였기에 증례보고와 아울러 문헌고찰을 하는바이다.

Actinomycosis is chronic, progressive, bacterial or fungal disease, more suppurative than granulomatous with a marked tendency for forming abscesses and sinus tracts. Actinomycosis, depending on the site of primary infection, is generally classified as cervicofacial, abdominal and thoracic type. In most instance, pelvic infection is found closely related to IUD, direct extension from GI tract and hematogenous sprewad. The causative agent is a branching, gram-positive anaerobic or microaerobic organism, apparently parasitic but bacteria-like in most of its characteristics. Recently authors are experienced a case of actinomycosis, which occured at bilateral adnexae, colon and greater omentum. A brief review of literatures pertinent to this case was done.