Hefny A F, Joshi S, Saadeldin Y A, Fadlalla H, Abu-Zidan F M
Department of Surgery, Faculty of Medicine and Health Sciences, Al-Ain University, United Arab Emirates.
Singapore Med J. 2006 May;47(5):419-21.
Actinomycosis of the anterior abdominal wall is rare. We report a 50-year-old diabetic man who presented with a left hypochondrial mass of three weeks duration associated with fever. Abdominal computed tomography showed a 2 x 4 cm mass projecting from the internal abdominal wall associated with surrounding inflammation. The mass did not decrease after a week of intravenous antibiotics. Excision of the mass and primary closure of the abdominal wall were performed. The mass involved the deep muscles of anterior abdominal wall. The omentum was adherent to the parietal peritoneum underneath the mass. Microscopical examination of the mass was consistent with actinomycosis. The postoperative period was uneventful and the patient recovered completely. The patient received penicillin for six months.
腹壁前部放线菌病较为罕见。我们报告一例50岁的糖尿病男性患者，其左季肋部出现一个持续三周的肿块，并伴有发热。腹部计算机断层扫描显示一个2×4厘米的肿块从腹内壁突出，伴有周围炎症。静脉使用抗生素一周后肿块并未缩小。遂对肿块进行切除并对腹壁进行一期缝合。肿块累及腹壁前部深层肌肉。大网膜与肿块下方的壁层腹膜粘连。肿块的显微镜检查结果符合放线菌病。术后恢复顺利，患者完全康复。患者接受了六个月的青霉素治疗。
