[Hepatic actinomycosis--pseudotumoral form].
Hepatic actinomycosis is a pretty rare anatomo-clinical entity that often induces a wrong pre-operative diagnosis. By presenting a case of hepatic actinomycosis, apparently primitive and diagnosed pre-operatively as a neoplastic lesion, the authors discuss the diagnosis and treatment of this disease, mentioning that in the solid, tumoral forms, the hepatic resection is necessary. The authors consider that the post-operative addition of antibiotherapy (mega doses of penicillin) is useful for the eradication of inflammatory residual hepatic parenchyma as well as for the cicatrisation of the parietal fistulae.
Clinica Chirurgie I, Spitalul Clinic de Urgenţă Militar Central Dr. Carol Davila Bucureşti. chirurgie1scumc@go.ro
I
I
Câmpeanu
M
M
Bogdan
L
L
Mosoia
I
I
Lucescu
D
D
Corneci
F
F
Vasilescu
M
M
Curea
D000196:Actinomycosis / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D006498:Hepatectomy; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000382:microbiology* / Q000628:therapy; D008113:Liver Neoplasms / Q000175:diagnosis; D008297:Male; D010400:Penicillin G / Q000627:therapeutic use; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D010400:Penicillin G