rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2018-99-2-79-84rentrad-329Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHКОМПРЕССИОННЫЕ СИНДРОМЫ КАК СЛУЧАЙНЫЕ НАХОДКИ ПРИ МНОГОСРЕЗОВОЙ КОМПЬЮТЕРНОЙ ТОМОГРАФИИ ОРГАНОВ БРЮШНОЙ ПОЛОСТИ И ЗАБРЮШИННОГО ПРОСТРАНСТВАCOMPRESSION SYNDROMES AS INCIDENTAL FINDINGS DURING MULTISLICE COMPUTED TOMOGRAPHY OF ABDOMINAL ORGANS AND RETROPERITONEAL SPACEhttps://orcid.org/0000-0003-2788-7513МельниченкоЖ. С.Mel’nichenkoZh. S.

 врач-рентгенолог. 

ул. Щепкина, 61/2, Москва, 129110.

Radiologist.

ul. Shchepkina, 61/2, Moscow, 129110.

https://orcid.org/0000-0003-3838-636XВишняковаМ. В.VishnyakovaM. V.

д. м. н., профессор, заведующая кафедрой лучевой диагностики, руководитель рентгенологического отдела.

ул. Щепкина, 61/2, Москва, 129110.

MD, PhD, DSc, Professor, Chief of Chair of Radiation Diagnostics, Head of Radiological Department.

ul. Shchepkina, 61/2, Moscow, 129110.

ГБУЗ МО «Московский областной научно-исследовательский клинический институт им. М.Ф. Владимирского».РоссияM.F. Vladimirskiy Moscow Regional Research and Clinical Institute.Russian Federation2018300520189927984Copyright © Мельниченко Ж.С., Вишнякова М.В., 20182018Мельниченко Ж.С., Вишнякова М.В.Mel’nichenko Z.S., Vishnyakova M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/329

Цель исследования – оценить клиническое значение компрессионных синдромов, случайно выявленных при многосрезовой компьютерной томографии (МСКТ) брюшной полости и забрюшинного пространства.

Материал и методы

Материал и методы. МСКТ с внутривенным болюсным контрастированием выполнена 645 пациентам с различными заболеваниями органов брюшной полости и забрюшинного пространства. Информация, полученная после анализа диагностических изображений, сопоставлялась с клиническими симптомами, а в отдельных случаях – с интраоперационными данными.

Результаты

Результаты.В исследуемой группе у 71 (11%) больного при МСКТ-исследовании были выявлены предпосылки для возникновения компрессионных синдромов, из них у 11 (15%) отмечены соответствующие клинические признаки. Хирургическое лечение было проведено в 3 случаях, в остальных 8 наблюдениях оказалось эффективным консервативное лечение.

Заключение

Заключение. У 11 (1,7%) из 645 пациентов, обследованных с помощью МСКТ по поводу различных заболеваний органов брюшной полости и забрюшинного пространства, были диагностированы компрессионные синдромы. Своевременная и адекватная их диагностика позволила исключить другие заболевания со сходными клиническими проявлениями и определить оптимальную тактику. 

Objective

Objective.To estimate the clinical significance of compression syndromes accidentally detected by multislice computed tomography (MSCT) of the abdominal cavity and retroperitoneal space.

Material and methods

Material and methods. Intravenous bolus contrast-enhanced MSCT study was performed in 645 patients with different diseases of the abdominal cavity and retroperitoneal space. The information obtained after analysis of diagnostic images was compared with clinical symptoms and, in some cases, with intraoperative data.

Results

Results. MSCT study identified prerequisites for the occurrence of compression syndromes in 71 (11%) patients of the study group, of whom 11 (15%) patients were noted to have relevant clinical manifestations. Surgical treatment was performed in 3 cases; medical treatment proved to be effective in the remaining 8 cases.

Conclusion

Conclusion. Compression syndromes were diagnosed in 11 (1.7%) of the 645 patients examined by MSCT for different diseases of the abdominal cavity and retroperitoneal space. Their timely and adequate diagnosis could rule out other diseases with similar clinical manifestations and define optimal tactics. 

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The authors declare that there are no conflicts of interest present.