Abfalter E, Schröcksnadel H, Peer D, Müller E, Sölder E
Univ.-Klinik für Frauenheilkunde Innsbruck.
Geburtshilfe Frauenheilkd. 1990 Nov;50(11):890-2. doi: 10.1055/s-2008-1026387.
The majority of patients presenting with tubo-ovarian abscess caused by abdominopelvic actinomycosis are women using an IUD. Since the course of this disease is afebrile, and the diagnosis often established relatively late, it typically simulates a malignant tumour of the lower abdomen. Except for leukocytosis and an increased blood sedimentation rate, laboratory findings are within the normal range. The infection infiltrates neighboring structures, and hence a secondary involvement of the intestine is common. Two cases are presented, successfully treated by a combined operative-antibiotic approach.
大多数由腹盆腔放线菌病引起的输卵管卵巢脓肿患者为使用宫内节育器的女性。由于该疾病病程无发热，且诊断往往相对较晚，通常类似下腹部恶性肿瘤。除白细胞增多和血沉加快外，实验室检查结果均在正常范围内。感染会浸润邻近结构，因此肠道继发性受累很常见。本文报告两例病例，采用手术联合抗生素治疗方法成功治愈。
