Helminthiases / / May 12, 2016
echinococcosis spleen rate in the areas of advanced echinococcosis reaches 6-8%.Defeat it can be single or multiple and combined with echinococcosis other organs.
parasitic cysts can be located inside of the spleen (a capsule) - in the center or at one of its poles, or in this body the gate.In the first two cases, a gradual increase in parasitic cysts leads to atrophy and sometimes almost complete disappearance of the splenic parenchyma.
Most patients eventually cyst beyond the spleen, compressing and displacing the neighboring organs: the stomach, the left lobe of the liver, colon and small bowel loops, the left kidney.Large, long-existing cyst of the spleen can cause a significant atrophy of the liver parenchyma and kidneys.
The most common clinical signs of splenic echinococcosis is a feeling of heaviness and pain in the left upper abdomen, as well as the presence of a tumor, often leaving its upper pole far to the left upper quadrant.As the growth of cysts can join the symptoms caused by dysfunct
In cases when the cysts and perforation occur in its opening the free abdominal cavity, peritonitis develops pattern, especially when the contents of infected cysts.If the cyst is opened in the stomach is observed vomiting, and in the vomit contains a large number of child and bubbles hydatid cyst shell fragments.Perforation of cysts in the lumen of the colon is accompanied by loose stools with elements echinococcus.It is also possible perforation of the pleural cavity and lungs.In the latter case, a discharge of hydatid bubble sputum.We describe a growing cyst ruptures perenhimy and spleen capsule, which is accompanied by signs of internal bleeding.
In view of these circumstances, the diagnosis of echinococcosis spleen is not always easy.Great help in preoperative diagnosis has X-ray examination, in which can be found calcification of the cyst wall - an important diagnostic sign of echinococcosis, high standing and limited mobility of the left dome of the diaphragm.In the investigation of the gastrointestinal tract are detected displacement stomach impression contour in its greater curvature, a pushing loops thin and large intestines.
Diagnostic errors are often due to the fact that doctors forget about the very possibility of echinococcosis, especially in areas where it is observed less frequently.However, some patients have to actually meet with considerable diagnostic difficulties.Echinococcosis spleen must be differentiated from cirrhosis and portal hypertension, gastric cancer, pancreatic cysts, hypernephroma and some other diseases.
- Echinococcosis kidney
- Echinococcosis bones
- Echinococcosis of liver
- Symptoms echinococcosis liver
- treatment of liver echinococcosis
- Echinococcosis light
- Multiple hydatid disease of the abdomen and pelvis
- clinical picture echinococcosis echinococcosis
Treatment Treatment of splenic echinococcosis exclusively surgical.In most cases resort to splenectomy.The spleen is removed along with the parasitic cysts, ie, in fact at the same time produce the most radical operation -.. Perfect Echinococcectomy.However, if the cyst is intimately fused with the surrounding organs or the diaphragm, it is more appropriate in order to produce less trauma Echinococcectomy after pre-opening and emptying the cyst.If the fibrous capsule can not be removed completely, or you can not take in the residual cavity at risk of damage to other organs (stomach, intestine), it can be left open, communicating with the peritoneal cavity.Produce with echinococcosis spleen resection impractical and dangerous due to the possibility of internal bleeding in the postoperative period.
In cases cyst perforation in the stomach or colon simultaneously with splenectomy should implement the regional (or broader) resection of the body.