Tesfalem Helen, Kleif Jakob
Kirurgisk Afdeling, Hillerød Hospital, Dyre-havevej 29, 3400 Hillerød.
Ugeskr Laeger. 2014 Jan 13;176(3A):V06130418.
We report a case of omental actinomycosis in a female patient with an intrauterine device. A computed tomography had shown an inflammatory tumour in the abdomen. The patient was treated with laparoscopic resection of the tumour and prolonged antibiotic therapy. Abdominal actinomycosis should be considered as a differential diagnosis in patients with abdominal symptoms and unspecific clinical, radiological and laboratory findings. Definitive diagnosis of actinomycosis requires histological examination of affected tissue. Laparoscopic resection seems feasible as an alternative to open surgery.
我们报告一例患有宫内节育器的女性患者发生网膜放线菌病的病例。计算机断层扫描显示腹部有一个炎性肿瘤。该患者接受了腹腔镜肿瘤切除术和长期抗生素治疗。对于有腹部症状且临床、放射学和实验室检查结果不明确的患者，应将腹部放线菌病视为鉴别诊断之一。放线菌病的确诊需要对受影响组织进行组织学检查。腹腔镜切除术似乎是一种可行的替代开放手术的方法。
