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頁籤選單縮合
題名 | Intra-abdominal Actinomycosis Mimicking Sigmoid Colon Cancer Report of a Case=以大腸腫瘤的症狀來表現的腹腔內放線菌病 |
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作者姓名(中文) | 陳坤源; 魏柏立; 黃銘德; 李威傑; 王世名; 張金堅; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷期 | 12:1 2001.03[民90.03] |
頁次 | 頁26-30 |
分類號 | 416.245 |
關鍵詞 | 大腸腫瘤; 放線菌病; Actinomycosis; Colon cancer; |
語文 | 英文(English) |
中文摘要 | 放線菌是一種內生性的革蘭氏陽性厭氧菌,它可以存在於正常人的口腔內。放線菌病並不常見,好發於頭頸部,其次是胸部,而腹腔內放線菌病為第三位,約只佔所有放線菌病的 20 %。我們報告一個腹腔內放線菌病的案例,病人是以乙狀結腸腫瘤的症狀來表現,在一系列的檢查之後,仍無法排除惡性腫瘤的可能性,而必須施行手術。腹腔內放線菌病雖不常見,但是頻率在近來有增加的趨勢,似乎與子宮內避孕器的使用增加有關。腹腔內放線菌病診斷不易,大約只有 10 %的病人能在術前被正確診斷出來。對於放線菌病來說,手術的角色除了在確定診斷之外,在膿瘍的引流以及﹖管的切除,也是必須的。治療上主要是以盤尼西林為主,治癒率可達到 95 %以上。 |
英文摘要 | We report a case of a 51-year-old woman who had abdominal actinomycosis but symptomatically as colon malignancy. She had chief complaint of small caliber stool and tenesmus for 3 months. After a series of examinations, malignancy can not be excluded thus the patient underwent operation including resection of sigmoid colon and left ovary. The pathologic finding was Actinomyces israelii. After antibiotic treatment, the patient was discharged two weeks later. Actinomycosis israelii is an anaerobic Gram-positive bacterial and less than 10% of cases can be diagnosed preoperatively. The diagnosis can be confirmed with sulfur granules in the histologic examination. There are only 20% of actinomycosis isreallii results in intra-abdominal infection but the incidence was greatly related to long term indwelling intrauterine device. The treatment needs long term antibiotics therapy (penicillin) with greater than 95% cure rate. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。