ABSTRACT
Experience of differential diagnosis of pleural diseases, accompanied by pleuroabdominal pain syndrome, simulating «an acute abdomen¼, was summarized. In a pleural exudate syndrome such a course was noted in 17 (3%) patients, of them 7 (1.23%) were operated on; and in a syndrome of spontaneous pneumothorax in 3 (1.7%), 1 (0.4%) was operated. Diagnostic algorithm was proposed.
Subject(s)
Abdomen, Acute/diagnosis , Empyema, Pleural/diagnosis , Pain/diagnosis , Pleural Effusion/diagnosis , Pneumothorax/diagnosis , Abdomen, Acute/pathology , Abdomen, Acute/physiopathology , Clinical Decision-Making , Diagnosis, Differential , Diagnostic Errors , Empyema, Pleural/pathology , Empyema, Pleural/physiopathology , Humans , Male , Pain/pathology , Pain/physiopathology , Pleural Effusion/pathology , Pleural Effusion/physiopathology , Pneumothorax/pathology , Pneumothorax/physiopathology , Syndrome , Thoracic Surgical Procedures/methods , Young AdultABSTRACT
In coincidence of chronic phthisic pleuritis in a rigid stage with pulmonary tuberculosis operative intervention is indicated of a pleuropulmonectomy type, what is a complex situation for performance and preservation of the patient's functional state. Pleuropulmonectomy in some patients is complicated by empyema and pathological processes in bronchi. Possibilities of operative interventions application, alternative to pleuropulmonectomy, were studied. Of 48 patients, to whom pleuropulmonectomy is indicated in accordance to data of clinic-roentgenological investigations, in 7--simultant operative treatment were conducted with positive results.