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長期使用子宮內置物者併發骨盆腔放線菌病之影像表現:病例報告

Imaging Manifestations of Pelvic Actinomycosis in Intrauterine Device User: A Case Report

摘要


骨盆腔放線菌病,乃是較少見的病,臨床上診斷困難。此病以其慢性而具組織破壞的本質,在病情上的表現與骨盆腔惡性腫瘤類似。如果有子宮內置物使用歷數年者在骨盆腔出現腫塊時,除了骨盆腔惡性腫瘤外,放線菌病亦應列入鑑別診斷。我們在此報告一病例,並做文獻溯閱。

並列摘要


Pelvic actinomycosis is a rare disease. Clinical presentation causes diagnostic difficulty, because they are similar to those of advanced pelvic cancer. Long-term use of an intrauterine device can promote overgrowth of actinomyces in the vagina. This can in turn lead to tubo-ovarian abscesses with severe complications. A case is reported of a woman with five-year-use of an intrauterine device. She suffered from pelvic actinomycosis with imaging manifestations mimicking those of pelvic malignancy.

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