Open AccessHydatid cysts in the outpatient practice of a surgeon
Author(s) -
Д. В. Пахнов,
Г Д Одишелашвили,
Л. Г. Одишелашвили
Publication year - 2021
Publication title -
stacionarozameŝaûŝie tehnologii: ambulatornaâ hirurgiâ/stacionarozameŝaûŝie tehnologii. ambulatornaâ hirurgiâ
Language(s) - English
Resource type - Journals
eISSN - 2658-3542
pISSN - 1995-1477
DOI - 10.21518/1995-1477-2020-3-4-135-139
Subject(s) - echinococcosis , anamnesis , medicine , pathological , radiology , surgery , lesion , general surgery , pathology
Introduction. The hydatid form of echinococcal disease of EB is a rather urgent problem and over time the degree of its significance does not decrease. The main target organ is the liver, according to various authors, it accounts for up to 84% of all clinical observations. The probability of lung tissue involvement in the pathological process is 15%. Echinococcosis of other organs and tissues, as well as a combined lesion occurs in 25% of cases. Lesion of echinococcosis of muscle tissue is observed in 0.7–0.9% of all cases. The main method of treatment at present is surgery with its various options such as echinococcectomy, pericystectomy, resection. Objective. To demonstrate on the available clinical example the feasibility of using surgical treatment of EB of rare localization in the area on the anterior abdominal wall. Materials and methods. The result of treatment of a patient with echinococcosis of rare localization on the anterior abdominal wall is presented. The diagnosis is established in accordance with the available clinical recommendations. The examination was carried out using a standard set of clinical metols, and included: collection, analysis of complaints, as well as an anamnesis of life and disease. Standard clinical and biochemical studies were performed. Results. The hydatid form of echinococcosis with localization on the anterior abdominal wall is a rather rare pathology. However, treatment issues and diagnostic difficulties are quite relevant for doctors of various specialties. As a result of this clinical observation and the treatment, the patient recovered; after 17 months there was no data for a relapse of the disease. Conclusion. 1. Timely diagnosis of hydatid echinococcosis of any localization is fundamental in improving the results of treatment of this category of patients. 2. A multidisciplinary approach in the selection of therapeutic tactics, namely the appointment of chemotherapeutic effects before and after surgery, an active surgical one, allows to achieve a good therapeutic result.