Latvian
Albanian
Arabic
Armenian
Azerbaijani
Belarusian
Bengali
Bosnian
Catalan
Czech
Danish
Deutsch
Dutch
English
Estonian
Finnish
Français
Greek
Haitian Creole
Hebrew
Hindi
Hungarian
Icelandic
Indonesian
Irish
Italian
Japanese
Korean
Latvian
Lithuanian
Macedonian
Mongolian
Norwegian
Persian
Polish
Portuguese
Romanian
Russian
Serbian
Slovak
Slovenian
Spanish
Swahili
Swedish
Turkish
Ukrainian
Vietnamese
Български
中文(简体)
中文(繁體)
Deutsche Medizinische Wochenschrift 2007-Nov

[Intraabdominal dermoid cyst in the differential diagnosis of ascites].

Rakstu tulkošanu var veikt tikai reģistrēti lietotāji
Ielogoties Reģistrēties
Saite tiek saglabāta starpliktuvē
P Becher
B Ringelhahn
J Sipos
A Juhasz

Atslēgvārdi

Abstrakts

METHODS

A 60- year-old Hungarian woman known to be alcohol-dependent, consulted her family physician because of generalized weakness and an enlarged abdomen Her doctor started diuretic treatment assuming that liver cirrhosis with ascites was the cause. After three months she was referred to our hospital because of dyspnea and orthopnea as well as edema in the legs.

RESULTS

On admission to the Department of Medicine, Elizabeth Hospital in Sopron (Hungary) the patient was in a critical condition with severe cachexia, muscular atrophy and no palpable adipose tissue. Her abdomen was severely distended by a large amount of abdominal fluid. Abdominal paracentesis was performed, which revealed feculent and fatty shining fluid.

METHODS

Laboratory tests showed low levels of total protein, albumin, cholesterol and iron. Microcytic anemia, leucocytosis and a high erythrocyte sedimentation rate were also found. Transaminases, urea, creatinine, lipase, amylase and electrolytes were within normal range. Protein and lipid levels of the abdominal fluid were high.

METHODS

Abdominal ultrasound and computed tomography (CT) were performed after hemodynamic stability and normal blood pressure had been achieved. Abdominal ultrasound showed that the abdominal cavity was full of fluid, which contained numerous round shiny objects with a capsule-like covering. Abdominal CT confirmed that the abdomen contained a partly cystic mass within which there were round objects, about 3 cm in diameter. These findings established the diagnosis of dermoid cyst. The patient died five hours after admission. At autopsy there was evidence of organ compression, severe malabsorption and malnutrition, pulmonary congestion, and myocardial atrophy.

CONCLUSIONS

In a patient with ascites, liver cirrhosis or intraabdominal having been ruled out, an intraabdominal dermoid cyst should be considered in the differential diagnosis. The outcome in this patient was largely determined by her failure to consult a doctor early, having failed to appreciate the seriousness of her condition.

Pievienojieties mūsu
facebook lapai

Vispilnīgākā ārstniecības augu datu bāze, kuru atbalsta zinātne

  • Darbojas 55 valodās
  • Zāļu ārstniecības līdzekļi, kurus atbalsta zinātne
  • Garšaugu atpazīšana pēc attēla
  • Interaktīva GPS karte - atzīmējiet garšaugus atrašanās vietā (drīzumā)
  • Lasiet zinātniskās publikācijas, kas saistītas ar jūsu meklēšanu
  • Meklēt ārstniecības augus pēc to iedarbības
  • Organizējiet savas intereses un sekojiet līdzi jaunumiem, klīniskajiem izmēģinājumiem un patentiem

Ierakstiet simptomu vai slimību un izlasiet par garšaugiem, kas varētu palīdzēt, ierakstiet zāli un redziet slimības un simptomus, pret kuriem tā tiek lietota.
* Visa informācija ir balstīta uz publicētiem zinātniskiem pētījumiem

Google Play badgeApp Store badge