Department of Surgical Oncology and Surgery of the Digestive System (ONCAD), Belo Horizonte, Brazil.
Federal University of Ouro Preto (UFOP), Ouro Preto, Brazil.
Cir Cir. 2020;88(Suppl 1):102-105. doi: 10.24875/CIRU.20001732.
We report a case of abdominal actinomycosis, a chronic suppurative infection caused by bacteria of the genus Actinomyces, simulating colon cancer, and presenting with abdominal pain and leukocytosis. Computed tomography revealed a mass lesion with irregular contours, infiltrative aspect, with extension to omental fat and abdominal wall, in the transverse colon. A surgical intervention was performed due to the suspicious of a colonic tumor. In the post-operative period, anatomopathological examination showed suppurative nodules associated with actinomycetes colonies, confirming the diagnosis of abdominal actinomycosis. After surgery, the patient was submitted to antibiotic treatment and no relapse was observed.
我们报告了一例腹部放线菌病，这是一种由放线菌属细菌引起的慢性化脓性感染，模拟结肠癌，表现为腹痛和白细胞增多。计算机断层扫描显示横结肠处有一个肿块病变，轮廓不规则，呈浸润性，延伸至网膜脂肪和腹壁。由于怀疑结肠肿瘤，进行了手术干预。术后解剖病理检查显示化脓性结节与放线菌属菌落有关，确诊为腹部放线菌病。手术后，患者接受了抗生素治疗，未观察到复发。
