RADIATIVE DIAGNOSTICS OF SURGICAL PATHOLOGIES SPLEEN IN AIDS PATIENTS

Abstract

The purpose of this work was to study the characteristics of radiation diagnosis of surgical pathology of the spleen in patients with AIDS. Materials and methods. The work is based on the data of radiation studies of 188 AIDS patients who were hospitalized in the surgical department. The sensitivity and specificity of MSCT and MRI in this pathology were assessed. MSCT was the «gold standard» as the most accessible and informative method of radiological diagnosis of abdominal pathology with the ability to perform minimally invasive surgical procedures (external drainage under CT control). The examination program of these patients was supplemented with an abdominal MRI scan only in difficult diagnostic cases. Hepatosplenomegaly in AIDS patients is always present. Results. Heart attacks of the spleen in patients with AIDS develop on the background of severe intoxication and do not require surgical treatment. For large spleen abscesses (up to 3 cm), minimally invasive external drainage under CT control is required, if it is ineffective, a laparotomy and elimination of the pathologic focus followed by drainage of the surgical area are treated conservatively. In the case of total dissemination of the spleen, patients should perform splenectomy.