[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.
Câmpeanu
I
I
Clinica Chirurgie I, Spitalul Clinic de Urgenţă Militar Central Dr. Carol Davila Bucureşti. chirurgie1scumc@go.ro
Bogdan
M
M
Mosoia
L
L
Lucescu
I
I
Corneci
D
D
Vasilescu
F
F
Curea
M
M
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