- 期刊
Liver Abscess with Actinomycosis in a Child Presenting as a Subcutaneous Mass
一個以皮下腫塊來表現的小兒放射菌肝膿瘍：病例報告
摘要
一個9歲男孩因右背疼痛的腫塊而來院求治。超音波發現在肝臟有一個腫塊，而電腦斷層則發現此腫塊大小爲4×7公分，且疑似肝臟腫瘤。實驗室檢查大致正常。手術中發現爲肝臟膿瘍，且病理報告顯示爲放射菌感染。病患術後恢復情況良好，並接受三個月的口服抗生素治療。放射菌感染所導致的肝膿瘍是相當少見的疾病，而以皮下腫塊來表現則更屬罕見。我們報告這一個病例並回顧相關的文獻。
關鍵字
無資料並列摘要
A 9-year-old boy suffered for several days from a painful mass on the right side of his back. Abdominal ultrasound showed a hypoechoic mass in segment 6 of the liver. Computed tomography revealed a 4×7 cm, poorly defined ruptured hepatic tumor. Laboratory findings revealed leukocytosis in the absence of a left shift and mild anemia. During the laparotomy, a liver abscess with surrounding fibrosis was found. The pathological report showed that the liver abscess was caused by actinomycosis. The boy recovered without complications and was discharged on the 9th postoperative day. He received oral antibiotics for 3 months after the operation. A liver abscess with actinomycosis is rare, especially in children. To our knowledge this is the first report on this disease in the form of a subcutaneous mass. We report this case and review the literature.
延伸閱讀
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