Kaya E, Yilmazlar T, Emiroğlu Z, Zorluoğlu A, Bayer A
Department of General Surgery, Uludağ University School of Medicine, Görükle, Bursa, Turkey.
Surg Today. 1995;25(10):923-6. doi: 10.1007/BF00311761.
Abdominal actinomycosis is a rare entity which presents some difficulty in establishing a correct preoperative diagnosis. We report herein the case of a 41-year-old woman who developed abdominal actinomycosis involving the left colon and the surrounding retroperitoneum. The patient, who had an intrauterine contraceptive device (IUCD) in situ, presented with left flank pain and the signs and symptoms of an intraabdominal mass, which was initially diagnosed as a neoplasm originating from the left colon or the retroperitoneal space. Thus, a left colectomy was performed, but the histopathological pathological diagnosis revealed abdominal actinomycosis. We evaluated the diagnosis and treatment of this disease in light of the knowledge acquired from the available literature on this rare entity.
腹部放线菌病是一种罕见疾病，在术前做出正确诊断存在一定困难。我们在此报告一例41岁女性患者，其腹部放线菌病累及左结肠及周围腹膜后间隙。该患者体内有宫内节育器（IUCD），表现为左侧胁腹疼痛及腹内肿块的体征和症状，最初被诊断为起源于左结肠或腹膜后间隙的肿瘤。因此，实施了左半结肠切除术，但组织病理学诊断显示为腹部放线菌病。我们根据从关于这一罕见疾病的现有文献中获取的知识，对该疾病的诊断和治疗进行了评估。
