Ultrasound diagnostics of appendicular peritonitis in children
DOI:
https://doi.org/10.11603/2414-4533.2017.4.8367Keywords:
appendicular peritonitis in children, ultrasound sonography, diagnostics.Abstract
The aim of the work: studying the possibilities of ultrasound sonography (USS) for this pathology.
Materials and Methods. In order to study the possibilities of ultrasound sonography with diffuse purulent appendicular peritonitis complicated by paralysis of the intestine (PI) in children, 93 patients were examined for an objective assessment of the motor activity of the intestine, the degree of prevalence of the pathological process in the abdominal cavity and with a dynamic control of the effectiveness of treatment at the age of 2 to 15 years with appendicular peritonitis. Patients were divided into 2 groups: I group of comparison – 45 patients with appendicular peritonitis complicated by intestinal paresis I–II stage. In II, 48 children with DPAP complicated with PI (the main group) were included. The following echography parameters were evaluated: the presence of fluid in the abdominal cavity and its localization; presence of intestinal peristalsis; diameter and thickness of the intestine; the accumulation of fluid and air in the lumen of the intestine; character of the progression of chymus in the gut.
Results and Discussion. When comparing the preoperative parameters of USS with the results of intraoperative revision of the abdominal cavity, it was revealed that in 91.2 % of cases the echography data coincided with the intraoperative ones. It is difficult to recognize whether paralytic or obstructive origin of intestine’s paralysis is. The detailed and accurate examination of the whole abdominal cavity may alleviate the diagnosis, when you find the dilated and contracted bowel loops. Paralytic ileus is differentiated from mechanical one by the presence of peristaltic movement that is easily observed by USS.
Conclusions. Ultrasound sonography in the postoperative period can detect not only a positive clinical picture, but also contribute to early recognition of postoperative intraabdominal complications (abscesses of the abdominal cavity, adhesive complications).
References
Barsukov, K. N., Rychahov, H. P. (2011) Abstsessy bryushnoy polosty kak prychyna posleoperatsyonnoho perytonyta [Abscesses of the abdominal cavity as a cause of postoperative peritonitis]. Novosty khyrurhyy, 19(4), 71-76.
Vynnyk, Yu. S., Zamashchykov, V. Y., & Tuchyn, V. E. (2005). Appendykulyarnyy ynfylʹtrat [Appendicular infiltrate]. Sybyrskyy medytsynskyy zhurnal (Yrkut•sk), 55(6), 33-36.
Dronov, A. F., Shamsiyev, A. M., & Kobiyev, E. E. (2006). Sravnitel'naya otsenka laparoskopicheskikh i traditsionnykh metodov khirurgicheskogo lecheniya ostroy spayechnoy kishechnoy neprokhodimosti u detey [Comparative evaluation of laparoscopic and traditional methods of surgical treatment of acute adhesive intestinal obstruction in children]. Detskaya khirurgiya, (5), 13-15.
Shamsiyev, A. M., Kobilov. E. E. (2005). Profilaktika spayechnykh oslozhneniy posle operativnykh vmeshatel'stv pri appendikulyarnom peritonite i ostroy spayechnoy kishechnoy neprokhodimosti [Prophylaxis of adhesions complications after surgical interventions in appendicular peritonitis and acute adhesive intestinal obstruction]. Detskaya khirurgiya, (5), 7-10.
Shamsiyev, M. A., Atakulov, D. O., & Yusupov, SH. A. (2000). Eksperimental'noye izucheniye vliyaniya ozona na techeniye peritonita i spaykoobrazovaniye [Experimental study of the effect of ozone on the course of peritonitis and adhesion]. Detskaya khirurgiya, (6), 22-25.
Shamsiyev, A. M., Davranov, B. L., & Shamsiyev, ZH. A. (2008). Reproduktivnoye zdorov'ye zhenshchin, perenesshikh appendikulyarnyy peritonit i pervichnyy peritonit v detskom vozraste [Reproductive health of women who have undergone appendicular peritonitis and primary peritonitis in childhood]. Detskaya khirurgiya, (3), 35-39.
Gaensler, E. H., Jeffrey Jr, R. B., Laing, F. C., & Townsend, R. R. (1989). Sonography in patients with suspected acute appendicitis: value in establishing alternative diagnoses. American Journal of Roentgenology, 152(1), 49-51.
Saydullayev Z. Y. et al., Evaluating the effectiveness of minimally invasive surgical treatment of patients with acute destructive cholecystitis (2014, May). Section 4. Pharmaceutical Sciences. In The First European Conference on Biology and Medical Sciences (Vol. 279, p. 169).
Shamsiev, A. M., Yusupov, S. A., & Shahriev, A. K. (2016). Efficiency of an ultrasound sonography in case of appendicular peritonitis among children. Zdobutky klinichnoyi i eksperymentalʹnoyi medytsyny, 26(2), 84-87.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
