Acute abdominal syndrome in blood system diseases

Suren Rolandovich Karagyulyan; Карагюлян Сурен Роландович; S A Shutov; Шутов С А; A V Grzhimolovskiy; Гржимоловский А В; V S Shavlokhov; Шавлохов В С; E A Lukina; Лукина Е А; E E Zvonkov; Звонков Е Е; E M Shulutko; Шулутко Е М; A Yu Bulanov; Буланов А Ю; S A Vasil'ev; Васильев С А; G A Sukhanova; Суханова Г А; N A Shutova; Шутова Н А; I B Kaplanskaya; Капланская И Б; I I Shaforostova; Шафоростова И И; S R Karagyulyan; Karagyulyan S R; S A Shutov; Shutov S A; A V Grzhimolovsky; Grzhimolovsky A V; V S Shavlokhov; Shavlokhov V S; E A Lukina; Lukina E A; E E Zvonkov; Zvonkov E E; E M Shulutko; Shulutko E M; A Yu Bulanov; Bulanov A Yu; S A Vasilyev; Vasilyev S A; G A Sukhanova; Sukhanova G A; N A Shutova; Shutova N A; I B Kaplanskaya; Kaplanskaya I B; I I Shaforostova; Shaforostova I I

Acute abdominal syndrome in blood system diseases

Authors: Karagyulyan S.R.¹, Shutov SA¹, Grzhimolovskiy AV¹, Shavlokhov VS¹, Lukina EA¹, Zvonkov EE¹, Shulutko EM¹, Bulanov AY.¹, Vasil'ev SA¹, Sukhanova GA¹, Shutova NA¹, Kaplanskaya IB¹, Shaforostova II¹, Karagyulyan SR², Shutov SA², Grzhimolovsky AV², Shavlokhov VS², Lukina EA², Zvonkov EE², Shulutko EM², Bulanov AY.², Vasilyev SA², Sukhanova GA², Shutova NA², Kaplanskaya IB², Shaforostova II²
Affiliations:
1. Гематологический научный центр РАМН
2. Hematology Research Center, Russian Academy of Medical Sciences
Issue: Vol 82, No 12 (2010)
Pages: 39-43
Section: Editorial
URL: https://journal-vniispk.ru/0040-3660/article/view/30746
ID: 30746

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Abstract

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.

Keywords

hematological diseases, acute abdominal syndrome, peritonitis, surgical treatment

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Acute abdominal syndrome in blood system diseases

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