Complex radiation diagnostics of local peritonitis
- 15 June 2022
- journal article
- Published by Vidar, Ltd. in Medical Visualization
Abstract
The purpose of the study. To clarify the possibilities of using radiation research methods in the framework of complex diagnostics of local peritonitis for timely recognition and treatment of intra-abdominal abscesses and infiltrates.Materials and methods. The analysis of the results of a complex radiation examination in 61 patients with local peritonitis of various etiologies who were treated at the N.V. Sklifosovsky Research Institute for Emergency Medicine was carried out. The complex of radiation diagnostics included ultrasound and X-ray examinations, computed tomography (CT). The studies were performed both initially at admission and in dynamics.Results. The diagnostic algorithm for local peritonitis is analyzed, three stages are identified with the determination of the method of choice on each of them. Ultrasound and X-ray examination methods are mainly used at the stage of primary diagnostics and for dynamic control. CT allows you to clarify the type, localization and volume of inflammatory changes, their relationship with the surrounding organs and structures. When analyzing the results of radiation diagnostics, it was determined the need to identify and evaluate the main signs of local peritonitis, both direct: the presence of voluminous formation of inflammatory genesis (infiltrate and/or abscess); and indirect: changes in the source organ of peritonitis; changes in structures adjacent to the infiltrate /abscess; the presence of reactive effusion into the thoracic and abdominal cavities.Conclusion. Comprehensive radiation diagnostics for local peritonitis makes it possible to obtain complete information about the nature of both inflammatory changes in local peritonitis and the causes of them. The obtained data of complex diagnostics help the surgeon to choose a rational treatment strategy for these patients, including minimally invasive. Diagnostic monitoring allows you to evaluate the effectiveness of treatment and carry out timely correction of tactics.Keywords
This publication has 8 references indexed in Scilit:
- EFSUMB Position Paper: Recommendations for Gastrointestinal Ultrasound (GIUS) in Acute Appendicitis and DiverticulitisUltraschall in der Medizin - European Journal of Ultrasound, 2019
- [Ultrasound in the diagnosis and treatment of abdominal abscesses].Khirurgiya. Zhurnal im. N.I. Pirogova, 2019
- COMPUTED TOMOGRAPHY DIAGNOSTICS OF INFLAMMATORY COMPLICATIONS OF COLON DIVERTICULITIS (review)Koloproktologia, 2016
- Die chirurgische Therapie der sekundären PeritonitisDer Chirurg, 2015
- EVALUAT I ON OF VARIOUS PROGNOSTIC FACTORS IN PERFORATIVE PERITONITIS MANAGEMENTJournal of Evidence Based Medicine and Healthcare, 2015
- The role of current methods of X-ray diagnosis in caseof intraabdominal suppurative conplications caused bu colonic diseasesKhirurgiya. Zhurnal im. N.I. Pirogova, 2015
- 2013 WSES guidelines for management of intra-abdominal infectionsWorld Journal of Emergency Surgery, 2013
- US or CT for Diagnosis of Appendicitis in Children and Adults? A Meta-AnalysisRadiology, 2006