放线菌病罕见地表现为腹部肿块：一例报告。
Rare presentation of actinomycosis as an abdominal mass: report of a case.
作者信息
Meyer P, Nwariaku O, McClelland R N, Gibbons D, Leach F, Sagalowsky A I, Simmang C, Jeyarajah D R
机构信息
Department of Surgery, University of Texas Southwestern Medical School, Dallas, USA.
出版信息
Dis Colon Rectum. 2000 Jun;43(6):872-5. doi: 10.1007/BF02238030.
PURPOSE
The purpose of this article was to report an unusual presentation of abdominal actinomycosis masquerading as a tumor.
METHODS
The patient was a 54-year-old male who presented with vague abdominal discomfort and a palpable left lower quadrant mass defined on CT scan. Multiple intraoperative core biopsies were nondiagnostic, and he underwent en bloc resection of the mass and adjacent organs for a presumed tumor.
RESULTS
Examination of tissue from deep within the excised specimen revealed sulfur granules diagnostic for actinomycosis.
CONCLUSION
Abdominal actinomycosis is an extremely rare infection that can mimic multiple disease processes and requires accurate diagnosis for successful therapy. This novel presentation and a review of the literature are reported.
目的
本文旨在报告一例伪装成肿瘤的腹部放线菌病的不寻常表现。
方法
患者为一名54岁男性，表现为腹部隐痛，CT扫描显示左下腹可触及肿块。多次术中穿刺活检均未明确诊断，因怀疑肿瘤，患者接受了肿块及相邻器官的整块切除。
结果
对切除标本深部组织的检查发现了诊断放线菌病的硫黄颗粒。
结论
腹部放线菌病是一种极其罕见的感染，可模仿多种疾病过程，需要准确诊断以成功治疗。本文报告了这一新颖的病例表现并对文献进行了综述。
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