Ramírez Sánchez C, Pérez Marín M A, Ibáñez Merino J, Ramírez Cruz H M
Rev Gastroenterol Mex. 1977 Jan-Apr;42(1):36-40.
A case of liver actinomycosis is presented. It was diagnosed 15 days after the patient had undergone appendicectomy. Emphasis is made concerning the diagnostic difficulties in the clinical, radiological and bacteriological areas. In the present paper note is made of the low frequency of this disease in Mexico. In this case it was possible arrive at a definitive diagnosis only after the histopathological study of material obtained in a needle liver biopsy which demonstrated the sulfur granules that are characteristic of the lesion. Information is given concerning the clinical and surgical evolution as well as therapeutic management. The case is illustrated with representative roentgenograms and a microphotograph of the lesion.
本文报告一例肝放线菌病。该病例在患者接受阑尾切除术后15天被诊断出来。文中强调了在临床、放射学和细菌学领域诊断该病存在的困难。本文还指出了这种疾病在墨西哥的低发病率。在该病例中,只有在对经肝穿刺活检获得的材料进行组织病理学研究后,才得以明确诊断,该研究发现了具有病变特征性的硫磺颗粒。文中还给出了临床和手术过程以及治疗管理方面的信息。本文配有该病变的代表性X光片和显微照片。