Liver Abscess with Actinomycosis in a Child Presenting as a Subcutaneous Mass
作者
Yu-Li Lin, Tien-Jye Chang, Wen-Long Hu, Tuan-Ying Ke
卷期/出版年月
42卷4期 (2009/8)
頁次
234-237
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 4x7 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.