Author/Editor		Babnik-Peskar, D; Zupančič, Ž
Title		Pomen fistulografije pri dolgotrajnih obsežnih retroperitonealnih abscesih: ali so abscesi tuberkulozne narave?
Translated title		Fistulography in repeated large retroperitoneal abscesses: are they tuberculous?
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 64, št. Suppl 2
Publication year		1995
Volume		str. II-51-5
Language		slo
Abstract		Two patients with large, repeated retroperitoneal perirenal and psoas abscesses with numerous fistulations are presented. Fistulography clearly demonstrated an extension of the inflammatory process from the initial site into the mediastinum, esophagus, and stomach through a retroperitoneal- esophago-gastric fistula, and an extension from the retroperitoneum into the peritoneal cavity in one patient, and an extension from the retroperitoneum into the abdominal wall, and from the retroperitoneum into the gluteal and perineal region through a retroperitoneal-gluteal and retroperitoneal perineal fistula in the other patient. Because of the extent of the inflammatory disease with repetitive abscesses and skin fistulations, we suspected tuberculous etiology in both patients. Tuberculosis was subsequently proven in one of them. Diagnostic importance of fistulography in retroperitoneal abscesses is emphasized and the problem of diagnosing tuberculosis in retroperitoneal abscesses discussed.
Summary		Pri dveh bolnicah z obsežnimi, ponavljajočimi se retroperitonealnimi perirenalnimi in psoasnimi abscesi, ki so se s fistulami odpirali na koži ledja, je bilo z rentgensko kontrastno fistulografijo dokazano, da se vnetni proces širi zelo daleč: pri prvi bolnici prek retroperitonealno-ezofago- gastrične fistule v mediastinum, požiralnik in želodec ter iz retroperitoneja v trebušno votlino, pri drugi bolnici pa po retroperitonealnoglutealni in retroperitonealno-perinealni fistuli iz retroperitonealnega prostora v trebušno steno, v glutealni in perinealni predel. Natančen prikaz razsežnosti vnetnega procesa s fistulografijo in znanje o širjenju retroperitonealnih abscesov sta nas pri bolnicah usmerila k izvoru in naravi vnetja, to je k tuberkuloznemu procesu. Pri eni bolnici je bila tuberkuloza tudi potrjena s kulturo. V prispevku poudarjamo diagnostično pomembnost fistulografije pri retroperitonealnih vnetnih procesih in prikazujemo, kako zapleteno je lahko odkrivanje tuberkuloze kot povzročitelja obsežnih vnetnih procesov retroperitoneja.
Descriptors		RETROPERITONEAL SPACE ABDOMINAL ABSCESS FISTULA