Терапевтический архив (Dec 2010)

Acute abdominal syndrome in blood system diseases

  • Suren Rolandovich Karagyulyan,
  • S A Shutov,
  • A V Grzhimolovskiy,
  • V S Shavlokhov,
  • E A Lukina,
  • E E Zvonkov,
  • E M Shulutko,
  • A Yu Bulanov,
  • S A Vasil'ev,
  • G A Sukhanova,
  • N A Shutova,
  • I B Kaplanskaya,
  • I I Shaforostova,
  • S R Karagyulyan,
  • S A Shutov,
  • A V Grzhimolovsky,
  • V S Shavlokhov,
  • E A Lukina,
  • E E Zvonkov,
  • E M Shulutko,
  • A Yu Bulanov,
  • S A Vasilyev,
  • G A Sukhanova,
  • N A Shutova,
  • I B Kaplanskaya,
  • I I Shaforostova

Journal volume & issue
Vol. 82, no. 12
pp. 39 – 43

Abstract

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Aim. To define an optimal diagnostic and therapeutic algorithm when the acute abdominal syndrome occurs in hematological patients. Materials and methods. The results of 145 emergency surgeries made in 2006-2008 for acute abdominal syndrome were studied in patients with blood system diseases. Results. Clinical manifestations of acute abdominal syndrome emerge in 1-1.4% of all the patients treated at the Hematology Research Center, Russian Academy of Medical Sciences. There is a need for surgery in 0.5-0.7% of all the patients admitted. In this group of patients, annual postoperative mortality is 12-16%. Conclusion. The routine algorithm for a diagnostic search in hematological patients with acute abdominal syndrome can lead to both hyperdiagnosis and unwarranted surgery, and incorrect choice of expectant policy as well.

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