骨盆放线菌病假瘤累及多段腰骶神经根1例(法)

• 作 者: Mtaallah M.H. Ben Hassouna J. Bouzid T. 朱亮
• 机 构: Service de Chirurgie Carcinologique Institut Salah-Azaz boulevard du 9-Avril Bab Saadoun 1006 Tuni
• 出 处: 世界核心医学期刊文摘(妇产科学分册)
• 发表日期: 2006年02期
• 关键词: 放线菌病 假瘤 腰骶神经根 左卵巢 神经系统并发症 放射检查 开腹手术 氧氟沙星 病理学检查 早期诊断

We report a case of pseudotumoral pelvic actinomycosis with lumbosacral spinal involvement in a 21 year-old woman. The radiological work-up showed a pseudotumoral left ovarian lesion extended to sacral spine, which involved the fifth lumbar vertebra. Diagnosis of actinomycosis was established in histopathological examination of the tubo-ovarian mass under laparotomy. After four months of treatment with ofloxacin and rifampicin evolution was marked by improvement of general health and infection, associated to a progressive recovery of motricity of the lower limbs. Early diagnosis of pelvic actinomycosis may prevent the occurrence of rare but severe neurological complications of this disease.

We report a case of pseudotumoral pelvic actinomycosis with lumbosacral spinal involvement in a 21 year-old woman. The radiological work-up showed a pseudotumoral left ovarian lesion extended to sacral spine, which involved the fifth lumbar vertebra. Diagnosis of actinomycosis was established in histopathological examination of the tubo-ovarian mass under laparotomy. After four months of treatment with ofloxacin and rifampicin evolution was marked by improvement of general health and infection, associated to a progressive recovery of motricity of the lower limbs. Early diagnosis of pelvic actinomycosis may prevent the occurrence of rare but severe neurological complications of this disease.