What Is an Abdominal Cyst?
Abdominal cysts are mostly manifested by abdominal mass or with abdominal pain. The correct diagnosis can be made by abdominal ultrasound or CT scan, but it is sometimes difficult to identify the location or nature of the cyst.
- Chinese name
- Celiac cyst
- Foreign name
- peritoneal cyst
- Abdominal cysts are mostly manifested by abdominal mass or with abdominal pain. The correct diagnosis can be made by abdominal ultrasound or CT scan, but it is sometimes difficult to identify the location or nature of the cyst.
Abdominal cysts
- Some patients with intraperitoneal cysts must undergo an intraoperative investigation to determine a reasonable surgical approach, and sometimes a rapid pathological biopsy is required before the diagnosis can be confirmed.
Abdominal cysts
- Diagnose the disease based on clinical symptoms, B-ultrasound, and CT examinations. Perform ultrasound guided needle aspiration cytology examination, which is B-ultrasonography, determine the puncture point, disinfect the skin in the puncture area, and spread the towel. After local anesthesia, use a detoxified puncture probe, 22G fine needle puncture. It can be sent to the cyst center, and the fluid in the cyst can be drawn for cytological examination, which can achieve the purpose of diagnosing the disease. It overcomes the limitations of ultrasound imaging.
- Ultrasonography alone is not characteristic, and it is often very difficult to distinguish abdominal cysts from abscesses and hematomas and to distinguish benign and malignant cystic masses: there are certain limitations. B-guided diagnostic puncture can further understand the characteristics of cystic fluid and distinguish cysts, abscesses and hematomas. Some malignant tumors have necrotic liquefaction, malignant cystic adenomas, and some solid tumors, such as mesenchymal sarcomas, have low echogenic light groups on the sonogram. B-guided needle aspiration cytology Can be clear about its benign and malignant, so as to provide a basis for the selection of clinical treatment methods.
Abdominal cysts 3. Principles of treatment
- Some patients with abdominal cysts are difficult to make a clear diagnosis before surgery. The feasibility of surgical resection can be evaluated by preoperative abdominal ultrasound and CT examination. The benign and malignant cysts, especially the pancreatic cysts, should be as clear as possible during the operation so that a reasonable surgical procedure can be selected. The basic procedure is as follows: The abdomen cyst is exposed. The fine needle aspiration of the cyst further confirmed the abscess, hematoma or cyst. Quick pathological examination during the operation to determine the nature of the cyst. If benign cysts involve important organs and blood vessels, and complete resection is difficult, partial cyst removal, cyst opening, residual cautery wall electrocautery treatment, and drainage tube can be used. Pancreatic cysts were directly treated with Roux-Y anastomosis at the bottom of the cysts. Pancreatic cystadenomas need to be pathologically differentiated from pancreatic cystadenocarcinomas.
- Interventional ultrasound is a traumatic method, which may cause bleeding, infection, and organ damage. Therefore, we should pay attention to the strict selection of indications, check the coagulation time and prothrombin time before surgery, and those with bleeding tendency should use it with caution. Position accurately during puncture to avoid important organs, blood vessels, and pleura in the abdominal cavity, so as not to cause side injuries. Closely observe the patient's condition after the operation, and pay attention to any complications. In short, compared with surgery, interventional ultrasound is an effective method for the treatment of abdominal cysts with simple operation, less pain and little impact on the body.