Open AccessANALYSIS OF CASES OF DIAGNOSTIC DIFFICULTIES WITH RUPTURE OF THE SPLEEN
Author(s) -
D. S. Yefimov
Publication year - 2020
Publication title -
harkìvsʹka hìrurgìčna škola
Language(s) - English
Resource type - Journals
ISSN - 2308-7005
DOI - 10.37699/2308-7005.1.2020.35
Subject(s) - medicine , abdominal cavity , ultrasound , diagnostic ultrasound , surgery , radiology , physical examination , medical history , general surgery
Summary. Objective: to describe two cases of clinical observation of undiagnosed preoperative rupture of the spleen, in order to analyze errors.
Material and methods. Two cases of undiagnosed preoperative spleen rupture are analyzed. Patients were treated in general surgical departments of the Kharkiv City Clinical Hospital for Emergency and Emergency Medicine, named after Professor Alexander Ivanovich Meshchaninov, in 2016 and 2019.
Results: two almost identical patients, both in history and in the course of disease, as well as the volume of surgical intervention and treatment results, were treated at the hospital in 2016 and 2019, respectively. It was revealed that the causes of diagnostic errors were primarily the lack of a history of trauma and the erroneous interpretation of ultrasound data in favor of acute pancreatitis.
Conclusions: the absence of a history of trauma and an erroneous interpretation of the causes of the appearance of free fluid in the abdominal cavity recorded during ultrasound examination are the main causes of diagnostic errors in this pathology. The presence of free fluid in the abdominal cavity, shown during ultrasound examination, is the reason for questioning the patient concerning incidence of injury.