Werbe G, Städtler F, Viets C H
Leber Magen Darm. 1982 Jun;12(3):122-7.
A case report is given of a patient, who developed actinomycosis at the anastomosis after Billroth II type of resection of the stomach. Physical examination revealed an upper abdominal mass in this patient; a clear diagnosis could not be established before surgery was done, the most likely diagnosis was considered to be a pancreatic pseudocyst. During surgery a carcinoma of the stomach was suspected. Microscopic examination finally yielded the diagnosis of tumor-like actinomycosis in the area of the anastomosis. Diagnosis, differential diagnosis and therapy are discussed.
报告了1例在胃毕Ⅱ式切除术后吻合口处发生放线菌病的患者。体格检查发现该患者上腹部有肿块；在手术前未能明确诊断，最可能的诊断被认为是胰腺假性囊肿。手术期间怀疑有胃癌。显微镜检查最终确诊为吻合口区肿瘤样放线菌病。并对诊断、鉴别诊断及治疗进行了讨论。
