Аннотация:
Purpose. To show the difficulty of diagnosis and treatment of atypical course of tuberculous empyema, when the process was complicated by tuberculosis of the chest, destruction of the diaphragm and penetration into the liver. Results. After chest MSCT scan, tuberculosis was suspected. The patient successfully underwent surgery: Pleurectomy with chest wandering abscess excision, resection of the VII rib and abdominal wandering abscess excision combined with the diaphragm and liver resection. The postoperative period was uncomplicated. During examination 4 years after surgery the patient was in a satisfactory condition, has ability to work, was transferred to group III dispensary tuberculosis registration. Discussion. Diagnosis and treatment of pleural empyema in some cases is difficult and, sometimes, requires differentiation from the oncological process. We have not found cases of tuberculous empyema spread of in the abdominal cavity with penetration into the liver in the literature. C
Гиллер Д. Б. Дмитрий Борисович 1959-
Мартель И. И. Иван Иванович 1980-
Ениленис И. И. Инга Игоревна 1978-
Короев В. В. Вадим Валерьевич 1985-
Кесаев О. Ш. Олег Шамильевич 1984-
Гиллер Б. Д. Борис Дмитриевич 1993-
Бижанов А. Б. Ануар Бахтыбаевич 1978-
Григорьев Y. Г. Ю.Г.
Лавров В. Н.
Giller D. B. Dmitrij Borisovich 1959-
Martel` I. I. Ivan Ivanovich 1980-
Enilenis I. I. Inga Igorevna 1978-
Koroev V. V. Vadim Valeryevich 1985-
Kesaev O. Sh. Oleg Shamilyevich 1984-
Giller B. D. Boris Dmitrievich 1993-
Bizhanov A. B. Anuar Bakhty'baevich 1978-
Grigoryev Y. G. Yu.G.
Lavrov V. N.
Difficulties in the diagnosis and treatment of tuberculosis pleural empyema complicated with chest wandering abscess, diaphragm destruction and penetration into the liver
Difficulties in the diagnosis and treatment of tuberculosis pleural empyema complicated with chest wandering abscess, diaphragm destruction and...
Текст визуальный непосредственный
Российский электронный журнал лучевой диагностики
Национальный конгресс лучевых диагностов
Т. 8, Вып. 4 С. 262-268
2018
Статья
Diaphragm destruction Empyema Liver penetration Pleurectomy Tuberculosis
Purpose. To show the difficulty of diagnosis and treatment of atypical course of tuberculous empyema, when the process was complicated by tuberculosis of the chest, destruction of the diaphragm and penetration into the liver. Results. After chest MSCT scan, tuberculosis was suspected. The patient successfully underwent surgery: Pleurectomy with chest wandering abscess excision, resection of the VII rib and abdominal wandering abscess excision combined with the diaphragm and liver resection. The postoperative period was uncomplicated. During examination 4 years after surgery the patient was in a satisfactory condition, has ability to work, was transferred to group III dispensary tuberculosis registration. Discussion. Diagnosis and treatment of pleural empyema in some cases is difficult and, sometimes, requires differentiation from the oncological process. We have not found cases of tuberculous empyema spread of in the abdominal cavity with penetration into the liver in the literature. C