Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
219 0 |
Căutarea după subiecte similare conform CZU |
616.9-002-071 (1) |
Boli transmisibile. Boli infecţionase şi contagioase, stări febrile (585) |
SM ISO690:2012 ILIADI, Alexandru, HOTINEANU, Adrian, ILIADI-TULBURE, Corina, MĂRIȚOI, Tatiana. Encapsulated peritoneal sclerosis – clinical observations. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 317. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.9-002-071 | ||||||
Pag. 317-317 | ||||||
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Rezumat | ||||||
Background. Encapsulated sclerosing peritonitis is a chronic fibro-inflammatory disease of the peritoneum, resulting in the formation of a thick fibrous membrane, which partially or completely encompasses the abdominal organs. Clinical case. Patient N. 17 yr. with a complicated gynecological history, underwent surgery for an abdominal tumor and occlusive syndrome. Intraoperatively, a tumor including the terminal portion of the 80 cm ilion enclosed in a single 1-3 mm thickened membrane was found. Tumor decapsulation was performed. The postoperative period without complications. Clinical case: Patient V. 76 yr. presented to the emergency department with clinical symptoms of intestinal obstruction, characterized by recurrent symptoms of acute and subacute intestinal obstruction. The results of the physical examination and abdominal radiography were consistent with the intestinal obstruction. Abdominal ultrasound confirmed the presence of hepatic and intra-abdominal fluid tumor. Laparotomy revealed a single fibrous capsule, which covered the small intestine, colon, liver, spleen; hepatic hydatid cysts and peritoneal exudate. Difficult surgical treatment was based on extensive dissection, involving viscerolysis and multiple incisions of the perivisceral fibrous membrane. Postoperative period was monotonous. The patient was discharged, in a satisfactory condition, with recommendations for outpatient treatment. Conclusion. Encapsulating peritonitis represents a clinical and morphological entity that raise real problems of diagnosis and treatment, being often an intraoperative discovery. Complex therapeutic management includes the need for peritoneal biopsy. The prognosis remains reserved, with significant mortality rate. |
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Cuvinte-cheie peritonitis, encapsulated peritoneal sclerosis, Diagnosis, therapeutic management, peritonită, peritonită sclerozantă incapsulantă, diagnostic, management terapeutic |
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