Bernet C, De Brabant F, Gonzalez M, Jung B, Millet O
Service de réanimation, centre hospitalier Montélimar, quartier Beausseret, 26216 Montélimar, France.
Ann Fr Anesth Reanim. 2010 Jan;29(1):50-2. doi: 10.1016/j.annfar.2009.09.016. Epub 2010 Jan 13.
Pelvic actinomycosis is a rare chronic suppurative granulomatous disease associated with an intrauterine contraceptive device. Next pelvic organs can be affected but also more distant organs, to lead to different clinical situations. The diagnosis is therefore often difficult. We report here the case of a woman who presents a particular extensive pelvic actinomycosis diagnosed after surgical treatment with important morbidity. This case shows the interest of evoking the diagnosis in an evocative clinical context, doing the necessary exams to confirm the hypothesis, favouring medical treatment and reserving surgical treatment for particular situations.
盆腔放线菌病是一种与宫内节育器相关的罕见慢性化脓性肉芽肿性疾病。接下来盆腔器官可能会受到影响，但更远的器官也可能受累，从而导致不同的临床情况。因此，诊断往往很困难。我们在此报告一例女性患者，其患有一种特殊的广泛性盆腔放线菌病，经手术治疗后出现严重并发症。该病例显示了在具有提示性的临床背景下唤起诊断的重要性，进行必要的检查以证实假设，优先采用药物治疗，并为特殊情况保留手术治疗。
