RADIATIVE DIAGNOSTICS OF SURGICAL PATHOLOGIES SPLEEN IN AIDS PATIENTS
https://doi.org/10.22328/2077-9828-2019-11-4-103-109
Abstract
The purpose of this work was to study the characteristics of radiation diagnosis of surgical pathology of the spleen in patients with AIDS. Materials and methods. The work is based on the data of radiation studies of 188 AIDS patients who were hospitalized in the surgical department. The sensitivity and specificity of MSCT and MRI in this pathology were assessed. MSCT was the «gold standard» as the most accessible and informative method of radiological diagnosis of abdominal pathology with the ability to perform minimally invasive surgical procedures (external drainage under CT control). The examination program of these patients was supplemented with an abdominal MRI scan only in difficult diagnostic cases. Hepatosplenomegaly in AIDS patients is always present. Results. Heart attacks of the spleen in patients with AIDS develop on the background of severe intoxication and do not require surgical treatment. For large spleen abscesses (up to 3 cm), minimally invasive external drainage under CT control is required, if it is ineffective, a laparotomy and elimination of the pathologic focus followed by drainage of the surgical area are treated conservatively. In the case of total dissemination of the spleen, patients should perform splenectomy.
About the Authors
A. A. Gaus
Department of Hospital Surgery of Surgut State University
Russian Federation
Surgut, Russia
Russian Federation
Surgut, Russia
N. V. Klimova
Department of Hospital Surgery of Surgut State University
Russian Federation
Surgut, Russia
Russian Federation
Surgut, Russia
V. V. Darvin
Department of Hospital Surgery of Surgut State University
Russian Federation
Surgut, Russia
Russian Federation
Surgut, Russia
References
1. Savelyeva T.B, Trofimova T.N., Rassokhin V.V. Radiation diagnosis of changes in the abdominal cavity and retroperitoneal space in HIV-infected patients. HIV infection and immunosuppression, 2010, Vol. 2, Nо. 3, рр. 15–22 (In Russ.).
2. Bartlett J., Gallant J., Pham P. Clinical aspects of HIV infection. Moscow: Valent, 2012.528 р. (In Russ.).
3. Pokrovsky V.V. HIV infection. Inform. bull. FNMTS PB AIDS Rospotrebnadzor, 2012, Nо 36, 52 p. (In Russ.).
4. Klimova N.V., Gaus A.A., Zinchenko O.A., Ilyina U.B. Possibilities of complex radiation diagnostics of local surgical processes in patients with the terminal stage of HIV infection. Vestnik SurGU. The medicine, 2016, Nо. 4 (30), рр. 17–22 (In Russ.).
5. Carbone A., Gloghini A. AIDS-related lymphomas: from pathogenesis to pathology // Br. J. Haematol. 2005. Vol. 130 (5). P. 662–670.
6. Pivnik A.V., Tumanova M.V., Seregin N.V., Parkhomenko Yu.G., Tishkevich O.A., Kovrigina A.M., Likunov E.B. Lymphomas in HIV-infected patients: literature review. Clinical Oncohematology, 2014, Vol. 7, Nо. 3, рр. 264–277 (In Russ.).
7. Chadburn A., Chiu A., Lee J.Y. et al. Immunophenotypic analysis of AIDS-related diffuse large B-cell lymphoma and clinical implications in patients from AIDS Malignancies Consortium clinical trials 010 and 034 // J. Clin. Oncol. 2009. Vol. 27 (30). P. 39–48.
8. Savelyeva T.V., Trofimova T.N., Ginzberg D.M. Features of abdominal pathology in HIV-infected patients with a clinical picture of «acute abdomen» are the possibilities of radiation diagnostic methods (MSCT and MRI). HIV infection and immunosuppression, 2011, Vol. 2, Nо. 3, рр. 31–36 (In Russ.).
9. Bluvshtein G.A., Kulakov A.A. Features of the course of surgical diseases in patients with HIV/AIDS. Surgery. Magazine them. N. I. Pirogov, 2007, Nо. 5, рр. 51–55 (In Russ.).
10. Bateganya M.H., Stanaway J., Brentlinger P.E. et al. Predictors of Survival After a Diagnosis of Non-Hodgkin Lymphoma in a Resource-Limited Setting: A Retrospective Study on the Impact of HIV Infection and Its Treatment // J. of Acquired Immune Deficiency Syndromes. 2011. Vol. 56 (4). Р. 312–319.
11. Karnabeda O.A., Getman L.I., Antonyak S.N., Roslyakova T.V., ShuligaNekhaikhlebova O.V. HIV-associated non-Hodgkin’s lymphomas. Clinical Oncohematology, 2013, Nо. 2 (10), рр. 108–115 (In Russ.).
12. Bluvshtein G.A., Mozerov S.A., Kulakov A.A. Clinical and morphological aspects of surgical errors and complications in patients with HIV/AIDS. Izvest. higher training institutions. Volga region. Medicine science, 2010, Nо. 4 (16), рр. 61–72 (In Russ.).
13. Gromov M.S., Kulakov A.A. Features of emergency surgical care for HIV-infected patients. Actual issues of emergency surgery, 2006, Nо. 3, рр. 25–29 (In Russ.).
Review
For citations:
Gaus A.A., Klimova N.V., Darvin V.V. RADIATIVE DIAGNOSTICS OF SURGICAL PATHOLOGIES SPLEEN IN AIDS PATIENTS. HIV Infection and Immunosuppressive Disorders. 2019;11(4):103-109. (In Russ.) https://doi.org/10.22328/2077-9828-2019-11-4-103-109
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