medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.medvis-334Research ArticleБРЮШНАЯ ПОЛОСТЬ И ЗАБРЮШИННОЕ ПРОСТРАНСТВОABDOMEN AND RETROPERITONEALАктиномикоз печени: 4 клинических наблюдения и обзор литературыHepatic Actinomycosis: 4 Case Reports and Literature ReviewБурякинаС. А.BuryakinaS. A.

канд. мед. наук, врач отдела лучевой диагностики и лечения,

117997 Москва, Бол. Серпуховская ул., д. 27

cand. of med. sci., doctor of the department of radiology,

117997 Moscow, Bol. Serpukhovskaya str., 27

sburyakina@yandex.ruКармазановскийГ. Г.KarmazanovskyG. G.

доктор мед. наук, профессор, член-корр. РАН, заведующий отделом лучевых методов диагностики и лечения,

Москва

doct. of med. sci., professor, corresponding member of Russian Academy of Science, Head of Department of Radiology;

professor of Chair of Radiology of IPE of I.M. Sechenov First Moscow State Medical University;

Chief Specialist of Ramsay Diagnostics,

Moscow

СтепановаЮ. А.StepanovaYu. A.

доктор. мед. наук, старший научный сотрудник отдела лучевых методов диагностики и лечения,

Москва

doct. of med. sci., the senior research of radiology methods of diagnostics and treatment department,

Moscow

ЖаворонковаО. И.ZhavoronkovaO. I.

канд. мед. наук, старший научный сотрудник отделения ультразвуковых методов диагностики и лечения,

Москва

cand. of med. sci., the senior research of ultrasound methods of diagnostics and treatment department,

Moscow

ГавриловЯ. Я.GavrilovYa. Ya.

младший научный сотрудник отделения ультразвуковых методов диагностики и лечения,

Москва

junior the senior research of ultrasound methods of diagnostics and treatment department,

Moscow

АндрейцеваО. И.AndreytsevaO. I.

доктор. мед. наук, старший научный сотрудник отделения абдоминальной хирургии №2,

Москва

doct. of med. sci., the senior research of of the department of liver and pancreas surgery,

Moscow

ВишневскийВ. А.VishnevskyV. A.

доктор. мед. наук, профессор, заведующий отделением абдоминальной хирургии №2,

Москва

doct. of med. sci., professor, chief of the department of liver and pancreas surgery,

Moscow

ФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава РоссииРоссияA.V. Vishnevsky Institute of SurgeryRussian Federation201628102016057491Copyright © Бурякина С.А., Кармазановский Г.Г., Степанова Ю.А., Жаворонкова О.И., Гаврилов Я.Я., Андрейцева О.И., Вишневский В.А., 20162016Бурякина С.А., Кармазановский Г.Г., Степанова Ю.А., Жаворонкова О.И., Гаврилов Я.Я., Андрейцева О.И., Вишневский В.А.Buryakina S.A., Karmazanovsky G.G., Stepanova Y.A., Zhavoronkova O.I., Gavrilov Y.Y., Andreytseva O.I., Vishnevsky V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/334

Актиномикоз печени является редким заболеванием и часто манифестирует в виде абсцессов либо опухолевого образования печени. Данное заболевание достаточно трудно дифференцировать с другими патологиче- скими изменениями в печени. В Институте хирургии было пролечено 4 пациента с верифицированным диагнозом актиномикоза печени. На основании проведенного анализа литературных данных и собственных клинических наблюдений выделены формы актиномикоза и их наиболее значимые диагностические критерии по данным ультразвукового исследования, компьютерной и магнитно-резонансной томографии. Впервые выявлена третья форма актиномикоза, имитирующая опухоль ворот печени и сопровождающаяся абсцессами печени. Данную форму актиномикоза целесообразно учитывать при проведении дифференциальной диагностики.

Actinomycosis is a rare disease of the liver, which often manifests as an abscess or as a tumor. This disease is quite difficult to differentiate from other pathological changes in the liver. 4 patients with the verified diagnosis of actinomycosis of a liver have been treated at A.V. Vishnevsky Institute of surgery. Based on the analysis of literature data and results of clinical examination of the patients basic forms and most important US, CT and MRI diagnostic signs of hepatic actinomycosis were revealed. The third form of actinomycosis imitating a tumor of gate of a liver and which is followed by liver abscesses is for the first time revealed. It is expedient to consider this form of actinomycosis when performing differential diagnostics.

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The authors declare that there are no conflicts of interest present.