Frutuoso Luisa, Pereira Ana Marta, Oliveira Vera, Gonçalves Gil, Nora Mário
General Surgery, Centro Hospitalar de Entre Douro e Vouga, Santa Maria da Feira, PRT.
General Surgery, Champalimaud Foundation, Lisbon, PRT.
Cureus. 2022 Jan 14;14(1):e21234. doi: 10.7759/cureus.21234. eCollection 2022 Jan.
Abdominal actinomycosis is a rare disease caused by a Gram-positive bacillus (Actinomyces). Liver manifestation is rare and, in patients with a history of cancer, differential diagnosis with secondary malignant disease can be difficult. Microbiological result is necessary for a correct diagnosis, though not always possible in preoperative workout. The authors present a case of hepatic actinomycosis that mimicked oncological disease and led to a more aggressive surgical approach.
腹部放线菌病是一种由革兰氏阳性杆菌(放线菌)引起的罕见疾病。肝脏表现罕见,对于有癌症病史的患者,与继发性恶性疾病的鉴别诊断可能很困难。微生物学结果对于正确诊断是必要的,尽管在术前检查中并非总是可行。作者报告了一例酷似肿瘤疾病并导致更积极手术方式的肝放线菌病病例。