Multiple hydatid disease of the abdomen and pelvis
Helminthiases / / May 05, 2016
Multiple hydatid disease is not uncommon, is according to individual authors, up to 30% of cases of the disease, and at a fraction of the abdominal cavity accounted for nearly 9/10 of similar observations.Multiple hydatid disease of the abdominal cavity is the primary and secondary.Primary multiple hydatid disease is rare, because the parasite embryos in these cases have to overcome two capillary barrier - the liver and lungs.Nevertheless, the possibility of getting hexacanth vessels in the systemic circulation, there is no doubt, and numerous clinical examples serve to illustrate this.
Most observed secondary multiple hydatid disease of the abdominal cavity.In most cases, it develops as a result of rupture of parasitic cysts of the liver or other organ of the abdomen and the contamination of the abdominal cavity.Break capsule parasite may occur as a result of abdominal trauma (a blow, fall), with a sharp reduction of muscles of the anterior abdominal wall (lifting weights, jump) or a sudden increase i
In multiple echinococcosis may be a variety of combinations of organ damage and the tissue of the abdomen and pelvis.So, hydatid cysts are both localized in the liver, spleen, small bowel mesentery, the pelvic tissue, ovary.The number of cysts also varies from individual to almost total destruction of the body, such as oil seal.The size of cysts varies.Disseminated spread of small cysts on the peritoneum can be taken for miliary tuberculosis.
clinical manifestations of multiple echinococcosis of abdominal cavity are as varied as they depend on different factors: the amount and size of the cysts, the degree of destruction of individual organs and the character developed complications.When several small uncomplicated cysts can be asymptomatic for.Disseminated forms are often characterized by common symptoms: weakness, fatigue, weight loss, reduced performance, lack of appetite.With the opening of the cyst into the free abdominal cavity develops a picture of acute abdomen.
The most common symptoms of multiple echinococcosis are malaise, abdominal pain, the presence of a palpable "tumors" or simply increase the size of the stomach.
Sometimes several large cysts located nearby, stomach palpation as "full of cobblestones."In other cases, some palpable movable, elastic consistency, painless, round and smooth surface formation, located in different parts of the abdomen.If one or more of festering cysts observed fever, chills, and a significant increase in pain.In advanced forms of the disease develop cachexia, anemia and general severe condition due to significant toxicity.In some cases, the leading symptoms of the disease are caused by compression of the cyst any abdominal and pelvic organs (bowel, bladder, stomach, blood vessels).In these cases, there may be symptoms of acute or chronic intestinal obstruction, persistent constipation, impaired urination, ascites and edema of the lower limbs (with compression of the portal vein or iliac).
- Echinococcosis kidney
- Echinococcosis bones
- Echinococcosis of liver
- Symptoms of liver echinococcosis
- treatment of liver echinococcosis
- Echinococcosis light
- Echinococcosis spleen
- clinical picture echinococcosis
- echinococcosis gallbladder
particularly difficult runs multiple hydatid disease, complicated by perforation or suppuration cysts.The most life-threatening patient admission infected contents into the abdominal cavity and the free development of diffuse peritonitis.Perforation of the aorta and inferior vena cava is absolutely deadly in connection with a developing bleeding or pulmonary embolism, but there is relatively rare.More favorable outcome in terms of a cyst in one opening of the hollow organs - the stomach, intestine, bladder, renal pelvis, and also through the abdominal wall to the outside.