摘要
Abstract
Objective Aim To investigate clinical characteristics and misdiagnosed causes of abdominopelvic actinomycosis in order to avoid misdiagnosis.Methods Clinical data of 1 patient with widely abdominopelvic actinomycosis was retrospectively analyzed, and related literature review was also reviewed.Results A 57-years-old female was admitted for abdominal distension, abdominal pain, weight loss, dark stools and intermittent fever for more than 1 month.A huge pelvic occupying lesion, invading multiple organs, thickening endometrium and slightly increased levels of tumor markers were found by many kinds of iconography examinations.Ovarian neoplasm and adenomyosis were diagnosed.A 15 cm×18 cm×20 cm size of cystic-solid mass in right pelvic cavity was found during operation research, which had invaded uterus, annex, ileocecal junction, sigmoid colon, upper rectum and apex vesicae, and cytoreductive surgery was performed.Pathological analysis after the operation showed large-area purulent lesion and conglobate actinomycosis among it with lots of foam cells reacting granulomatous inflammation, and abdominopelvic actinomycosis was confirmed.Large dose enough-time Benzylpenicillin therapy was given after the operation, and no recurrence was found during 1-year follow-up.Conclusion Abdominopelvic actinomycosis usually forms mass and invading pelvic and surrounding tissues, and it is easily misdiagnosed of ovarial cancer.Histopathologic examination is the gold standard for confirmation of actinomycosis.关键词
放线菌病/盆腔/腹腔/误诊/卵巢肿瘤Key words
Actinomycosis/Pelvic/Abdominal/Misdiagnosis/Ovarian neoplasms分类
医药卫生
