Mathiak G, Borck E, Galle J, Fröschle G W
Abteilung für Chirurgie, Klinikum Stormarn, Bad Oldesloe.
Zentralbl Chir. 2000;125(11):914-5. doi: 10.1055/s-2000-10056.
We report a case of abdominal actinomycosis in a young woman wearing an intrauterine contraceptive device. The patient presented with right lower abdominal pain. A diagnostic laparoscopy was performed. Intraoperatively two perforations of the sigma were detected, a sigmoidectomy was performed. Postoperatively no problems occurred. Histology revealed an abdominal actinomycosis. In the literature only some case reports are published dealing with abdominal actinomycosis. Women wearing intrauterine contraceptive devices seem to have a higher risk of actinomycosis. In unproblematic cases antibiotic therapy is the treatment of choice. In cases of doubt as in our case surgery is recommended to confirm the diagnosis.
我们报告一例年轻女性佩戴宫内节育器后发生腹部放线菌病的病例。患者表现为右下腹痛。进行了诊断性腹腔镜检查。术中发现乙状结肠有两处穿孔，遂行乙状结肠切除术。术后未出现问题。组织学检查显示为腹部放线菌病。文献中仅发表了一些关于腹部放线菌病的病例报告。佩戴宫内节育器的女性似乎患放线菌病的风险更高。在病情不复杂的情况下，抗生素治疗是首选治疗方法。如我们的病例一样，在存在疑问的情况下，建议进行手术以确诊。
