Lee Jae Hoon, Lee Kyeong Geun, Oh Young Ha, Park Hwon Kyum, Lee Kwang Soo
Department of Surgery, College of Medicine, Hanyang University, Seoul, Korea.
Hepatogastroenterology. 2010 Mar-Apr;57(98):358-61.
Actinomycosis is a chronic suppurative and granulomatous disease usually caused by Actinomyces israelii. The pathogen produces a characteristic granulomatous inflammatory fibrosis and mass lesion. Abdominal actinomycosis is often difficult to diagnose before operation because of its rarity and chronic disease progression without any characteristic clinical features. In particular, pancreas is very rare location of actinomycosis. The present paper is a report of a case of 55-year-old man with pancreatic actinomycosis presenting as symptoms of pancreatitis. The patient was confirmed by pancreatoduodenectomy for impression of pancreatolith and mass-like lesion of head portion of pancreas. Treatment with operation followed by additional oral penicillin therapy for 3 months was successful. We report a case of pancreatic actinomycosis with a brief review of literature.
放线菌病是一种慢性化脓性和肉芽肿性疾病，通常由以色列放线菌引起。该病原体可产生特征性的肉芽肿性炎性纤维化和肿块病变。腹部放线菌病由于其罕见性以及慢性病进展且无任何特征性临床特征，术前常难以诊断。特别是，胰腺是放线菌病非常罕见的发病部位。本文报告一例55岁男性胰腺放线菌病患者，其表现为胰腺炎症状。患者因胰腺结石和胰腺头部肿块样病变的印象而接受胰十二指肠切除术确诊。手术治疗后追加口服青霉素治疗3个月取得成功。我们报告一例胰腺放线菌病病例并对文献进行简要回顾。
