Carkman Sinan, Ozben Volkan, Durak Haydar, Karabulut Kagan, Ipek Turgut
Department of General Surgery, Istanbul University, Cerrahpasa Medical School, Genel Cerrahi Anabilim Dali, Postal code 34098, Cerrahpasa, Fatih, Istanbul, Turkey.
Case Rep Med. 2010;2010. doi: 10.1155/2010/340109. Epub 2010 Aug 12.
Isolated abdominal wall actinomycosis in the presence of an intrauterine contraceptive device (IUCD) is extremely rare and only six such cases have been reported in the literature. We report a case where clinical and radiological examinations revealed a pseudotumor within the anterior abdominal wall. After being lost to follow-up, the patient presented two years later with the enlargement of the mass. The mass including the affected anterior abdominal wall was completely excised. The diagnosis of actinomycosis was established postoperatively by histopathological examination. Further questioning concerning her gynecological history revealed long-term use of the same IUCD. Surgical excision of the actinomycotic pseudotumour and removal of the IUCD followed by antibiotic therapy resulted in the full recovery of the patient.
宫内节育器（IUCD）存在时孤立性腹壁放线菌病极为罕见，文献中仅报道过6例此类病例。我们报告1例临床和影像学检查显示前腹壁有假性肿瘤的病例。该患者失访两年后肿块增大。完整切除包括受累前腹壁的肿块。术后经组织病理学检查确诊为放线菌病。进一步询问其妇科病史发现患者长期使用同一枚IUCD。手术切除放线菌性假性肿瘤并取出IUCD，随后进行抗生素治疗，患者完全康复。
