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頁籤選單縮合
題名 | Intra- and Extra-Abdominal Actinomycosis Mimicking Urachal Tumor in an Intrauterine Device Carrier: A Case Report=子宮內避孕器的婦女身上被誤以為臍尿管腫瘤的腹部內及腹部外放射線菌瘤--病例報告 |
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作者姓名(中文) | 蕭錫麟; 沈榮宗; 葉信志; 吳文正; 王起杰; 黃俊雄; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷期 | 24:1 2008.01[民97.01] |
頁次 | 頁35-40 |
分類號 | 416.274 |
關鍵詞 | 放射線菌感染症; 子宮內避孕器; 臍尿管腫瘤; Actinomycosis; Intrauterine device; Urachal tumor; |
語文 | 英文(English) |
中文摘要 | 放射線菌瘤是一種由格蘭氏陽性絲狀厭氧菌,放射線菌 israelli 所造成的慢性化膿性感染。因為其不典型的特徵,這種病通常在手術後才被診斷出來。腹部的放射線菌瘤是此疾病第二常發生的地方而且常會與腹部腫瘤、發炎性腸疾和憩室炎相混淆。腹部及骨盆的型式通常因為過久的使用子宮內避孕器所造成。本文報導一位罕見的合併腹腔內及腹腔外的放射線菌瘤患者一開始經電腦斷層診斷誤以為臍尿管腫瘤的長期使用子宮內避孕器的婦女,主訴為腹部出現兩疼痛性腫塊。此病最終由手術完全切除,併長期適當的抗生素治療而治癒。且由術後病理學檢查發現硫顆粒而確定診斷。 |
英文摘要 | Actinomycosis is a rare, chronic suppurative infection caused by the Gram-positive anaerobic filamentous bacterium, Actinomyces israeli. In most cases, the diagnosis is made postoperatively because of its unusual clinical presentation. Abdominal actinomycosis is the second most common site of the disease and may mimic abdominal cancer, inflammatory bowel disease or diverticulitis. The abdominal-pelvic form of this disease mostly results from the prolonged use of an intrauterine device. We report a rare case of combined intra- and extra-abdominal actinomycosis mimicking urachal tumor that was diagnosed by computed tomography, which presented as two tender abdominal palpable masses following long-term intrauterine device use. The disease was confirmed by postoperative histopathologic examination, which revealed sulfur granules microscopically, and was successfully treated by complete surgical resection following a period of appropriate antibiotic treatment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。