[Differential diagnosis of uremic pseudoperitonitis and peritonitis in patients on renal replacement therapy]. / Differentsial'naya diagnostika uremicheskogo psevdoperitonita i peritonita u patsientov, nakhodyashchikhsya na programmnom gemodialize.

OBJECTIVE: To analyze serum concentration of ß2-microglobulin (ß2-MG) and C-reactive protein (CRP) in patients on renal replacement therapy for differential diagnosis of uremic pseudoperitonitis and peritonitis. MATERIAL AND METHODS: The study included 76 patients on renal replacement therapy who admitted to the hospital with suspected peritonitis. The control group comprised 60 outpatients on renal replacement therapy. We excluded patients with suspected peritonitis who did not receive previous renal replacement therapy. In both groups, we analyzed serum concentration of ß2-MG and CRP. RESULTS: Among patients with previous renal replacement therapy, the highest concentration of ß2-MG was found in those with suspected uremic pseudoperitonitis, and the highest concentration of CRP was in patients with suspected peritonitis. There were no significant changes in serum concentrations of ß2-MG and CRP in the control group.

[A rare localization of echinococcal cysts]. / Redkoe sochetanie lokalizatsii ékhinokokkovykh kist.

Surgical treatment of a patient with liver and spleen echinococcosis is presented in the article. A patient 21-year-old is native of the Astrakhan region with anamnesis of disease about one year. Previously, patient underwent surgery for echinococcosis of the right lung. Five months later patient was operated again. Pericystectomy of localized liver cysts and spleen resection were performed.