We herein report a case of abdominal actinomycosis in a 12-year-old girl in whom an omental primary tumor was suspected before surgery. The patient began to experience intermittent lower left abdominal pain. Abdominal computed tomography (CT) scans were inconclusive at this time, but 6 months later, CT and magnetic resonance imaging (MRI) examinations showed a 7-cm, tumor-like lesion in the left abdominal cavity; malignancy could not be ruled out. The tumor, which originated in the omentum and adhered strongly to the left abdominal wall, was resected along with approximately 90 % of the omentum, the peritoneum in contact with the mass, and the posterior layer of the rectus abdominal sheath, under suspicion of a malignant tumor. However, omental actinomycosis was the final pathological diagnosis. The patient's antibiotic treatment was changed to a penicillin-series oral antibiotic to prevent recurrence of the actinomycosis. The patient was discharged from our hospital 16 days after the first surgery, but she developed three episodes of ileus; the first two required surgery. The patient has had no further recurrences of actinomycosis or postoperative ileus 20 months after discharge.

译文

:我们在此报告了一名12岁女孩的腹部放线菌病病例,该患者在手术前被怀疑是网膜原发性肿瘤。患者开始经历间歇性左下腹痛。腹部计算机断层扫描(CT)扫描此时尚无定论,但6个月后,CT和磁共振成像(MRI)检查显示左腹腔内有7厘米肿瘤样病变。不能排除恶性肿瘤。肿瘤起源于大网膜并牢固地粘附于左腹壁,在怀疑有大网膜的情况下,将其与约90%的大网膜,与肿块接触的腹膜和腹直肌腹鞘后层一起切除。恶性肿瘤。但是,网膜放线菌病是最终的病理诊断。患者的抗生素治疗改为青霉素系列口服抗生素,以防止放线菌病复发。该患者在第一次手术后16天就从我们医院出院了,但是她出现了3例肠梗阻。前两个需要手术。出院20个月后,该患者没有放线菌病或术后肠梗阻的进一步复发。

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