ABSTRACT
The results of analysis of the diagnosis disjunction in 544 (17.2%) operated children, revealed for the period of 10 years, were adduced. The differential diagnosis mistakes of an acute appendicitis versus the other surgical pathology of abdominal cavity and retroperitoneal space were stipulated by objective (the peritonitis existence) and subjective (insufficient examination of the patient) reasons.
Subject(s)
Abdomen, Acute/diagnosis , Appendicitis/diagnosis , Retroperitoneal Space , Abdomen, Acute/surgery , Abdominal Injuries/diagnosis , Acute Disease , Adolescent , Child , Child, Preschool , Diagnosis, Differential , Diagnostic Errors , Female , Genital Diseases, Female/diagnosis , Humans , Intestinal Diseases/diagnosis , Kidney Diseases/diagnosis , MaleABSTRACT
The results of surgical treatment of 29 children with cysts, and 10--with cyst-like formations of the abdominal cavity and retroperitoneal space are described. In majority of the patients, a cyst at the terminal stage was revealed. In presence of complications, they were operated on with tentative diagnosis of acute appendicitis, or ileus. The operation consisted of cyst enucleation, its elimination with resection, or removal of the organ, creation of cystodigestive anastomosis. Postoperative lethality was 12.8%.
