Fesołowicz Sławomir, Kwiatkowski Artur, Chmura Andrzej
Warszawski Uniwersytet Medyczny, Katedra i Klinika Chirurgii Ogólnej i Transplantacyjnej.
Pol Merkur Lekarski. 2010 Nov;29(173):318-9.
Actinomyces is endogenic infection with rare abdominal manifestations. Diagnosis is very difficult and not always taken into account in differential diagnosis. Disease is recurrent and treatment is mostly pharmacologic and takes a long time. The aim of the paper was to present a case of patient operated on acute cholecystitis with intraabdominal actinomycosis. The 66 years old patient 28 days after cholecystectomy appeared to have jejunal perforation in the course of actinomycosis. Patient regarded two interventions due to intraabdominal abscesses. Since last discharge, a year ago, we do not observe recurrence. Intraabdominal actinomycosis is often recurrent and should be considered in patients with purulent complications after surgical procedures.
放线菌病是一种内源性感染，腹部表现罕见。诊断非常困难，在鉴别诊断中往往未被考虑。该病易复发，治疗主要是药物治疗，且疗程较长。本文旨在介绍一例因急性胆囊炎接受手术治疗后并发腹腔放线菌病的患者。这位66岁的患者在胆囊切除术后28天出现空肠穿孔，诊断为放线菌病。患者因腹腔脓肿接受了两次手术。自一年前上次出院以来，我们未观察到复发情况。腹腔放线菌病常易复发，对于手术后出现化脓性并发症的患者应予以考虑。
