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Peritoneum diseases - Diseases of digestive organs at children

Table of contents
Diseases of digestive organs at children
Oral cavity
Diseases of teeth
Malformations of the sky and soft tissues of an oral cavity
Diseases of a mucous membrane of an oral cavity and gums
Diseases of lips and language
Sialadens
Digestive tract
Basic reasons of gastrointestinal frustration
Gullet
Atresia and esophageal and tracheal fistula
Guttural and tracheal and esophageal crevice, inborn stenosis of a gullet
Other diseases of a gullet
Stomach and intestines
Peptic ulcer
Inborn hypertrophic pyloric stenosis
Inborn impassability of intestines
Inborn impassability of a duodenum
Disturbances of turn of intestines
Inborn impassability of a small bowel
Inborn megacolon
Diverticulums and duplikatura
The acquired impassability of intestines
Intestines invagination
Foreign bodys of a stomach and intestines
Motive frustration. stomach and intestines
Anomalies of a structure of anorectal area
Infectious diseases of intestines
Nonspecific ulcer colitis
Illness Krone
Necrotic coloenteritis of newborns
The coloenteritis connected with treatment by antibiotics
Gastrointestinal symptoms of anaphylactoid purpura, gemolitiko-uraemic syndrome
Intolerance of food proteins
Eosinophilic gastroenteritis
Absorption disturbance syndromes
Malabsorption
Immunodeficiency and intestines
Syndrome of "a congestive loop"
Syndrome of a short small bowel
Gee's disease
Sprue after acute enteritis
Tropical to a spr
Whipple's illness, intestines lymphangiectasia, Uolmap's illness, idiopathic diffusion defeat of mucous
Enzymopathies and disturbances of mechanisms of transport of nutrients
Irritable colon
Acute appendicitis
Diseases of an anus, direct and large intestine
Tumors of a digestive tract at children
Hernias of a digestive tract at children
Exocrine part of a pancreas
Pancreatitis
Embryonic development of structure and function of a liver
Diagnosis of diseases of a liver
Cholestatic states at babies
Parenchymatous jaundices at children of chest age
Disturbances of a metabolism of a liver and zhelchevydelitelny system
Anomalies of a structure of bilious ways
Cysts of bilious channels
Cholestasia and diseases of a liver connected with completely parenteral food
Medicinal damage of a liver
Ray's syndrome
Chronic hepatitis
Wilson's illness — Konovalova
Indian juvenile cirrhosis
Damages of a liver at chronic colitis
Cirrhosis and chronic liver failure
Portal hypertensia and varicosity of a gullet
Fatty infiltration of a liver
Cholecystitis
Peritoneum diseases
Peritonitis
Peritoneum hernias

DISEASES of the PERITONEUM of Anomaly of a structure of a peritoneum

Inborn commissures of a peritoneum can cause impassability of intestines; in development there are also other anomalies of a peritoneum which do not have, however, clinical value. Vnutribryunshchnny hernias can arise. owing to education by commissures of a peritoneum of ring-shaped "windows". Lack of an epiploon or its duplikatur belongs to rare anomalies. Cysts or torsion of an epiploon sometimes cause the acute abdominal crises demanding a laparotomy.

Ascites

The term "ascites" means accumulation of liquid in an abdominal cavity; usually it is about serous liquid. Ascites most often arises at diseases of kidneys (nephrosis) and hearts. It is observed at a chronic commissural pericardis, and also serves one of manifestations of a polyserositis at a Pick's disease. Besides, ascites arises as complication of portal hypertensia at cirrhosis (section 12.101), a hyperadenosis, tumors and thrombosis, and also peritoneum tuberculosis, rheumatic peritonitis and a prelum of a splenic vein.
The stomach is stretched sometimes so that the navel is stuck out outside. At a palpation fluctuation of liquid in an abdominal cavity is defined. If to place hands of the doctor on both sides of a stomach, and to press a hand of the assistant to the average line, then the push on one half of a stomach is transferred to other party. Shift of percussion dullness is often noted.
Ascites needs to be differentiated with other states causing increase in a stomach. The meteorism, accumulation of fecal masses at megacolon, tumoral educations, including mesentery cysts, acute or chronic peritonitis concern to them, intra belly bleeding, hyperdystension of a bladder and, at last, obesity.
The current, the forecast and treatment of ascites completely depend on primary disease.

Chyle ascites

Accumulation of a lymph in an abdominal cavity — a rare form of ascites. It can arise at the child of any age, and sometimes is inborn. True chyle ascites is caused by some anomalies, damages or a prelum of belly part of the chest canal. In case of anomalies of a channel ascites is available already at the time of the birth or arises soon after it. Perhaps simultaneous development of chyle pleurisy (sections 7.30 and 12.101). The channel can be squeezed by a tumor or the increased lymph nodes. Chyle liquid resembles superficially milk as contains a lot of fat. At chronic peritonitis liquid in an abdominal cavity has approximately the same color owing to disintegration of elements of an inflammation.
The forecast at chyle ascites adverse, however also recovery is possible. The expiration of a lymph can be slowed down if to provide the diet containing triglycerides with average chains; these fats are absorbed directly in portal system. As with chyle liquid a large amount of proteins is lost, contents them in food has to be high. If attempts to influence process by means of a diet do not yield result, then the laparotomy with the purpose to find the place of "leak" is justified.



 
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