ULTRASONIC DIAGNOSIS OF RENAL ABSCESS PYELONEPHRITIS IN A CHILD (CASE FROM PRACTICE)
Rubrics: CASE REPORT
Authors:
1.
Irkutsk State Medical Academy of Postgraduate Education
(Department of Pediatric Surgery, Teaching Assistant)
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
2.
Irkutsk State Regional Children’s Clinical Hospital
(Ultrasonic Medical Investigation Specialist)
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
3.
Irkutsk State Regional Children’s Clinical Hospital
(Ultrasonic Medical Investigation Specialist)
Irkutsk, Irkutsk region, Russian Federation
Irkutsk, Irkutsk region, Russian Federation
Type:
Article
Pages:
from 193
to 196
Status:
Published
Received:
19.10.2017
Accepted:
22.11.2017
Published:
22.11.2017
Subject area:
UDK 61 Медицина. Охрана здоровья
Language:
Russian
Keywords:
ul'trazvukovaya diagnostika, deti, pielonefrit, abscess
Abstract (English):
V nastoyaschey stat'e opisan sluchay redko vstrechayuschegosya gnoynogo porazheniya pochek u detey, yavlyayuschegosya metastaticheskim zabolevaniem pochek. Ishodnym ochagom gnoynogo processa chasche vsego mogut byt' vospalitel'nye izmeneniya v drugih organah. Pacientka, vozrastom odin god, postupila k nam v kliniku s zhalobami na dlitel'nuyu lihoradku, posle perenesennogo ostrogo respiratornogo zabolevaniya. V analizah krovi i mochi priznaki vospalitel'nyh izmeneniy. Po mestu zhitel'stva bylo provedeno ul'trazvukovoe issledovanie organov bryushnoy polosti i mochevoy sistemy, vyyavlena pieloektaziya sprava. Vystavlen diagnoz pielonefrit. V usloviyah otdeleniya nefrologii nashey kliniki provedeno obsledovanie, vyyavlena vyrazhennaya leykocituriya, povyshenie SOE. Pri ul'trazvukovom issledovanii u devochki vyyavleny mnozhestvennye ochagovye obrazovaniya i diffuznye izmeneniya parenhimy pravoy pochki. V stat'e naglyadno predstavlena ehograficheskaya kartina mnozhestvennyh vnutripochennyh abscessov vyyavlennyh pri pervichnom issledovanii, podcherknuta rol' metoda cvetnogo dopplerovskogo kartirovaniya pri ul'trazvukovom issledovanii, kotoryy primenyalsya s cel'yu verifikacii ochagovyh obrazovaniy. Takzhe opisan i ehograficheski predstavlen vospalitel'nyy process okolopochechnogo zhirovogo prostranstva – paranefrit. Rebenok byl vzyat na operaciyu. Provedena lyumbotomiya, reviziya pravoy pochki. Intraoperaciono byli vyyavleny mnozhestvennye abscessy, provedena sanaciya bolee krupnyh ochagov. Posleoperacionnyy diagnoz podtverdil zaklyuchenie ul'trazvukovogo issledovaniya.
V nastoyaschey stat'e opisan sluchay redko vstrechayuschegosya gnoynogo porazheniya pochek u detey, yavlyayuschegosya metastaticheskim zabolevaniem pochek. Ishodnym ochagom gnoynogo processa chasche vsego mogut byt' vospalitel'nye izmeneniya v drugih organah. Pacientka, vozrastom odin god, postupila k nam v kliniku s zhalobami na dlitel'nuyu lihoradku, posle perenesennogo ostrogo respiratornogo zabolevaniya. V analizah krovi i mochi priznaki vospalitel'nyh izmeneniy. Po mestu zhitel'stva bylo provedeno ul'trazvukovoe issledovanie organov bryushnoy polosti i mochevoy sistemy, vyyavlena pieloektaziya sprava. Vystavlen diagnoz pielonefrit. V usloviyah otdeleniya nefrologii nashey kliniki provedeno obsledovanie, vyyavlena vyrazhennaya leykocituriya, povyshenie SOE. Pri ul'trazvukovom issledovanii u devochki vyyavleny mnozhestvennye ochagovye obrazovaniya i diffuznye izmeneniya parenhimy pravoy pochki. V stat'e naglyadno predstavlena ehograficheskaya kartina mnozhestvennyh vnutripochennyh abscessov vyyavlennyh pri pervichnom issledovanii, podcherknuta rol' metoda cvetnogo dopplerovskogo kartirovaniya pri ul'trazvukovom issledovanii, kotoryy primenyalsya s cel'yu verifikacii ochagovyh obrazovaniy. Takzhe opisan i ehograficheski predstavlen vospalitel'nyy process okolopochechnogo zhirovogo prostranstva – paranefrit. Rebenok byl vzyat na operaciyu. Provedena lyumbotomiya, reviziya pravoy pochki. Intraoperaciono byli vyyavleny mnozhestvennye abscessy, provedena sanaciya bolee krupnyh ochagov. Posleoperacionnyy diagnoz podtverdil zaklyuchenie ul'trazvukovogo issledovaniya.
Keywords:
ul'trazvukovaya diagnostika, deti, pielonefrit, abscess
ul'trazvukovaya diagnostika, deti, pielonefrit, abscess
1. Spislit ul'trazvuk
