Pediatric Surgery Unit, Policlinic Hospital, Modena, Italy.
J Pediatr Surg. 2012 Dec;47(12):e9-11. doi: 10.1016/j.jpedsurg.2012.08.023.
We report a case of urinary bladder actinomycosis in childhood. In children abdominal actinomycosis is rare and unlikely involves the urinary tract, so it is often misdiagnosed. An 7-year-old boy was referred to a secondary level hospital because of abdominal pain and dysuria. Physical examination revealed a left hypochondrial mass. Hypothesizing a pelvic rhabdomyosarcoma, a biopsy with mini-laparotomy access was performed. The first histopathological analysis did not show any malignant cells, and a 14-day antibiotic course was ineffective. Reoperation and biopsy was needed, and the histopathological examination made the diagnosis possible.
我们报告一例儿童膀胱放线菌病。在儿童中，腹型放线菌病较为罕见，且不太可能累及泌尿道，因此常被误诊。一名 7 岁男孩因腹痛和尿痛被转至二级医院。体格检查发现左上象限有一肿块。由于考虑盆腔横纹肌肉瘤，行小剖腹切口活检。第一次组织病理学分析未显示任何恶性细胞，且 14 天抗生素治疗无效。需要再次手术和活检，组织病理学检查做出了明确诊断。
