Perivisceral

Perivisceral - adhesive inflammation serous covers the internal organs, mainly the abdominal cavity, often leading to a fusion between them or with parietal peritoneum and seal. Perivisceral occurs due to diseases of the abdominal organs, injuries or operations. During perivisceral asymptomatic or pulling, blunt, cramping abdominal pain, aggravated by physical activity, bloating, constipation, dysuric phenomena. Diagnosis of perivisceral often only possible with x-ray examination. Treatment: mud applications, injection of the extract of aloe Vera, mineral water, suitable employment. Sometimes shown operation. In severe forms of perivisceral may experience bouts of acute intestinal obstruction (see).

Perivisceral (perivisceritis; from the Greek. peri - around, around and lat. viscera - inside as well as internal organs - inflammation of the outer surface of the inner body. This concept includes many forms (from periesophageal to primetrica and so on). The term " perivisceral" often represent adhesive inflammation serous cover the abdominal organs. Any impact on serous cover causes the violation of the integrity of his mesotheli. The defects of the latter are covered by a fibrin, which very soon (within several hours) bonds adjacent organs. Then incorporated fibrin may be replaced by granulation tissue, and from it by scarring adhesions formed.
Etiology. Perivisceral often the result of acute peritonitis, or trauma to the abdominal organs or directly with chronic (e.g. tuberculosis) peritonitis. Perivisceral may develop due to long pathological process in mucosal and submucosal layer hollow organ or tissue parenchymal organ. This way, often there perigastric and perioodina, perispirit, perihepatitis, etc. Adhesive inflammation can spread far beyond the original scope of the damage mesotheli peritoneum.
In the abdominal cavity distinguish plane, scarious, solovinye, traction and transformative (from seal) adhesions. Described congenital spikes: for example, "strands lane" - spikes in the field of ileo-zakalnoe angle, perekidyvaetsya through the blind or the terminal ileum. All kinds of adhesions can lead to serious diseases.
Clinically "adhesive disorder" is not always evident soon after which developed perivisceral. Often it takes a while before you see the pain, the delay of the chair, the symptoms of acute or intermittent bowel obstruction, etc.
Diagnosis of perivisceral is based mainly on data contrast radiography and x-ray hollow organs of the abdominal cavity. In some cases, the presence of P. can be set manual study (e.g. in gynecology). P. is an indirect symptom of underlying disease (e.g., peptic ulcer, cholelithiasis) or as a criteria for the definition of interoperability (perigastric in cancer of the stomach), etc. is more important recognition., in those cases, when available, the clinical picture is conditioned only commissural process, especially when events relative or intermittent bowel obstruction.
Treatment of perivisceral, complicating any disease of organs of abdominal cavity or chronic infection (tuberculosis, and others), is reduced to the elimination of the main disease. In order to prevent adhesions after surgery was offered a variety of tools - medication and diet; however, they do not guarantee the formation of adhesions. Rarely gives lasting and separating them with surgery, more often it leads to the formation of new adhesions, often even more extensive. There are the cases when patients underwent surgery concerning adhesive intestinal obstruction dozens of times and still healing does not occur.
Noble (G. Noble) suggested action for the prevention and treatment of onset of adhesive obstruction (see Noble operation).