篇名 |
Primary Actinomycosis of the Greater Omentum: Report of a Case |
作者 |
Chih-Chien Yen, Hung-Ming Chao, Juen-Sean Lu, Sheng-Chuan His, Teng-Wei Chen |
卷期/出版年月 |
39卷5期 (2006/10) |
頁次 |
261-264 |
摘要 |
Actinomycosis is a granulomatous suppurative disease caused mainly by Actinomyces
israelii which is a normal saprophyte of the oral cavity, nasopharynx and
gastrointestinal tract. In most instances, the onset of abdominal disease is preceded by
an antecedent surgical, traumatic or inflammatory incident resulting in the
perforation of the mucosa of the gastrointestinal tract. Isolate actinomycosis of the
greater omentum is extremely rare.
We report a 64-year-old female patient, who was suspected as being an immune
incompetent individual and developed an actinomycosis of the greater omentum
without other hollow or solid organ involvement. Omentectomy was performed and
prolonged antibiotic therapy was given. She recovered well after treatment. To the
best of our knowledge, this is the seventh report of omental actinomycosis not
requiring resection of the intestine for the total removal of the disease tissue.
Adequate surgical drainage or excision and intensive prolonged antibiotic therapy provide a cure in most cases. |
關鍵詞 |
greater omentum, actinomycosis |
分類 |
Case Report |