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YUMUŞAK DOKU TÜMÖRÜNÜ TAKLİT EDEN PRİMER KARIN ÖN DUVARI AKTİNOMİKOZU

Year 2010, Volume: 11 Issue: 1, 47 - 49, 03.08.2010

Abstract

Aktinomiçes enfeksiyonlarına A.israelii sebep olur. Primer karın ön duvarı aktinomikozları çok nadir görülenhastalıklardır. Karın ön duvarında yumuşak doku tümörleri daha sık görülürler.41 yaşında, 4 yıldır intrauterinkontraseptif araç kullanım öyküsü olan kadın hasta karında kitle ve ağrı şikayeti ile başvurdu. Yapılan fizikmuayenede vital bulguları normal olarak bulundu. Yapılan karın muayenesinde umblikus etrafında orta hatta 5x8cm' lik mobil kitle palpe edildi. Biz abdominal BT sonucu yumuşak doku tümörü olarak rapor edilen hastayıopere ettik. Kitle total olarak eksize edildi. Postoperatif histopatolojik incelemede sülfür granülleri görülerekaktinomikoz tanısı kondu. Hastaya 30 gün intravenöz penisilin-G, sonrasında 3 ay oral ampisilin tedavisiuygulandı

References

  • Russo TA. Agent of actinomycosis. In: Mandell GL, Bennet JE, Dolin R, editors. Principle and practice of infectious diseases. Churchill Livingstone, New York, 2005: 2924-34.
  • Kaya D, Demirezen Ş, Beksaç MS. Aktinomikoza genel bir bakış. Türkiye Klin J Med Sci 2009;29:510-9.
  • Filipovic B, Milinic N, Nikolic G, Ranthelović T.
  • Hefny A F, Joshi S, Saadeldin Y A, Fadlalla H, Abu- Zidan F M. Primary anteriorabdominal wall actinomycosis. Singapore Med J 2006;47:419.
  • Yi F, Prasad S, Sharkey F, Kahlenberg M. Actinomycotic infection of the abdominal wall mimicking a malignant neoplasm. Surgical Infection 2008;9:85-9.
  • Karagülle E, Turan H, Türk E, Kıyıcı H, Yıldırım E, Moray G. Abdominal actinomycosis mimicking acute appendicitis. J Can Chir 2008;51:109-10.
  • Hallaç Keser S, Karadayı N, Yavuzer D, Karabulut H,Topal CS, Kurt N. Hepatik aktinomikoz: olgu sunumu. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi 2004;3:175-7.
  • Tamsel S, Demirpolat G, Killi R, Elmas N. Primer hepatik aktinomikoz: inflamatuvar psödotümör olgusu. Tanı Girisim Radyol 2004;10:154-7.
  • Erkaya S, Kutlar İA, Koşan İ, Kutlay B, Akar IN, Tuncer R. Pelvik aktinomikoz (iki olgu sunumu). T Klin J Gynecol Obst 1999;9:284-7.
  • Lunca S, Bouras G, Romedea NS, Pertea M. Abdominal wall actinomycosis associated with prolonged use of an intrauterin device: a case report and review of the literature. Int Surg 2005;90(4):236-40.
  • Owen K, Flannery MT, Elaini AB, Rivera J. Actinomycotic tumor of the abdominal wall.South Med J 2004;9:175-7.
  • Sakrak O, Müderrisoğlu İ, Bedirli A, İnce O, Canoz O. Abdominal actinomycosis appearing as an intraabdominal tumoral mass. Turk J Med Sci 2003;33:53-5.
  • Sutton RJ, Thomas JM. Desmoid tumors of anterior abdominal wall. Eur J Surg Oncol 1999;25:398-400.
  • Atad J, Hallak M, Sharon A, Kitzes R, Kelner Y, Abramovici H. Pelvic actinomycosis: is long-term antibiotic therapy necessary? J Reprod Med 1999;44:939-44.
  • Primary actinomycosis of the anterior abdominal wall:
  • case report and review of the literature. J Gastroenterol
  • Hepatol 2005;20:517-20. YAZIŞMAADRESİ E-Posta
  • :koksalbilgen@gmail.com Geliş Tarihi Kabul Tarihi :04.10.2009

Primer AbdominalWall Actinomycosis Mimicking Soft Tissue Tumor

Year 2010, Volume: 11 Issue: 1, 47 - 49, 03.08.2010

Abstract

Actinomyces infections are caused byActinomyces israelii. Primer actinomycosis of anterior abdominal wall is a rare disease. Soft tissue tumor of anterior abdominal wall is more common.A41- year- old female patient who had had an intrauterine contraceptive device for four years was admitted with abdominal mass and pain complaints. On physical examination, vital findings were normal, 5x8 cm mass was palpated on the periumblical area in the midline.We operate the patient whose abdominal CTresult is solid tissue tumor of abdominal wall. The mass was excised completely. Postoperative histopatholological examination revealed sulfur granules consistent with actinomycosis. The patient received intravenous penicilin-G for 30 days and followed by oral ampicillin for three months.

References

  • Russo TA. Agent of actinomycosis. In: Mandell GL, Bennet JE, Dolin R, editors. Principle and practice of infectious diseases. Churchill Livingstone, New York, 2005: 2924-34.
  • Kaya D, Demirezen Ş, Beksaç MS. Aktinomikoza genel bir bakış. Türkiye Klin J Med Sci 2009;29:510-9.
  • Filipovic B, Milinic N, Nikolic G, Ranthelović T.
  • Hefny A F, Joshi S, Saadeldin Y A, Fadlalla H, Abu- Zidan F M. Primary anteriorabdominal wall actinomycosis. Singapore Med J 2006;47:419.
  • Yi F, Prasad S, Sharkey F, Kahlenberg M. Actinomycotic infection of the abdominal wall mimicking a malignant neoplasm. Surgical Infection 2008;9:85-9.
  • Karagülle E, Turan H, Türk E, Kıyıcı H, Yıldırım E, Moray G. Abdominal actinomycosis mimicking acute appendicitis. J Can Chir 2008;51:109-10.
  • Hallaç Keser S, Karadayı N, Yavuzer D, Karabulut H,Topal CS, Kurt N. Hepatik aktinomikoz: olgu sunumu. Kartal Eğitim ve Araştırma Hastanesi Tıp Dergisi 2004;3:175-7.
  • Tamsel S, Demirpolat G, Killi R, Elmas N. Primer hepatik aktinomikoz: inflamatuvar psödotümör olgusu. Tanı Girisim Radyol 2004;10:154-7.
  • Erkaya S, Kutlar İA, Koşan İ, Kutlay B, Akar IN, Tuncer R. Pelvik aktinomikoz (iki olgu sunumu). T Klin J Gynecol Obst 1999;9:284-7.
  • Lunca S, Bouras G, Romedea NS, Pertea M. Abdominal wall actinomycosis associated with prolonged use of an intrauterin device: a case report and review of the literature. Int Surg 2005;90(4):236-40.
  • Owen K, Flannery MT, Elaini AB, Rivera J. Actinomycotic tumor of the abdominal wall.South Med J 2004;9:175-7.
  • Sakrak O, Müderrisoğlu İ, Bedirli A, İnce O, Canoz O. Abdominal actinomycosis appearing as an intraabdominal tumoral mass. Turk J Med Sci 2003;33:53-5.
  • Sutton RJ, Thomas JM. Desmoid tumors of anterior abdominal wall. Eur J Surg Oncol 1999;25:398-400.
  • Atad J, Hallak M, Sharon A, Kitzes R, Kelner Y, Abramovici H. Pelvic actinomycosis: is long-term antibiotic therapy necessary? J Reprod Med 1999;44:939-44.
  • Primary actinomycosis of the anterior abdominal wall:
  • case report and review of the literature. J Gastroenterol
  • Hepatol 2005;20:517-20. YAZIŞMAADRESİ E-Posta
  • :koksalbilgen@gmail.com Geliş Tarihi Kabul Tarihi :04.10.2009
There are 18 citations in total.

Details

Other ID JA38TG78VS
Journal Section Research Article
Authors

Köksal Bılgen This is me

Ediz Tütüncü This is me

İbrahim Çölhan This is me

Fulya Köybasıoglu This is me

Tevfik Hadi Küçükpınar This is me

Publication Date August 3, 2010
Published in Issue Year 2010 Volume: 11 Issue: 1

Cite

EndNote Bılgen K, Tütüncü E, Çölhan İ, Köybasıoglu F, Küçükpınar TH (August 1, 2010) Primer AbdominalWall Actinomycosis Mimicking Soft Tissue Tumor. Meandros Medical And Dental Journal 11 1 47–49.