Cyto-morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitis

Objective. To study up a character and peculiarities of cyto-morphological changes in cellular material of the peripancreatic liquid accumulations (LA) as a criterion of objective estimation of the clinical course severity in an acute complicated pancreatitis (ACP). Маterials and methods. Results...

Full description

Bibliographic Details
Main Authors: V. P. Andriushchenko, D. V. Andriushchenko, O. Yu. Andrushevska, L. M. Kohut
Format: Article
Language:Russian
Published: Liga-Inform ltd. 2018-11-01
Series:Клінічна хірургія
Subjects:
Online Access:https://hirurgiya.com.ua/index.php/journal/article/view/543
_version_ 1797839503985999872
author V. P. Andriushchenko
D. V. Andriushchenko
O. Yu. Andrushevska
L. M. Kohut
author_facet V. P. Andriushchenko
D. V. Andriushchenko
O. Yu. Andrushevska
L. M. Kohut
author_sort V. P. Andriushchenko
collection DOAJ
description Objective. To study up a character and peculiarities of cyto-morphological changes in cellular material of the peripancreatic liquid accumulations (LA) as a criterion of objective estimation of the clinical course severity in an acute complicated pancreatitis (ACP). Маterials and methods. Results of cyto-morphological investigation of the peripancreatic LA sediment, obtained while doing interventional ultrasonography in 51 (88%) observations and videolaparoscopy - in 7 (12%) observations in 58 patients with an ACP, were analyzed. Results. Of intraabdominal LA (n=37) observations in 10 (27 %) of them a domination of proliferating cells of mesothelium with their polymorphism was revealed, while in 15 (41%) - degenerative-dystrophic changes like a bulging of cytoplasm, appearance of large «signet-ring like» cells, in 12 (32%) - аtipically changed cells of mesothelium with signs of anizocytosis and anizonucleosis, as well as cyto-morphological changes like in neoplastic process. In retroperitoneal localization of LA (n=21) a more essential changes in the granulocytes nuclei were registered, including, in 9 (43%) observations their structure have got irreversible disorders: karyopycnosis, karyorexis and karyolysis. The depth of structural cellular changes in mesoteliocytes and neutrophil granulocytes have depended upon the ACP severity. Conclusion. Determination of depth of the cellular content cytomorphological disorders in the LA sediment may serve an objective criterion in the ACP severity estimation.
first_indexed 2024-04-09T15:58:21Z
format Article
id doaj.art-fe8bab6b874148d391f4fdc85a1848ae
institution Directory Open Access Journal
issn 0023-2130
2522-1396
language Russian
last_indexed 2024-04-09T15:58:21Z
publishDate 2018-11-01
publisher Liga-Inform ltd.
record_format Article
series Клінічна хірургія
spelling doaj.art-fe8bab6b874148d391f4fdc85a1848ae2023-04-25T13:54:44ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962018-11-01851191210.26779/2522-1396.2018.11.09543Cyto-morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitisV. P. Andriushchenko0D. V. Andriushchenko1O. Yu. Andrushevska2L. M. Kohut3Danylo Galytskyi Lviv National Medical UniversityDanylo Galytskyi Lviv National Medical UniversityDanylo Galytskyi Lviv National Medical UniversityDanylo Galytskyi Lviv National Medical UniversityObjective. To study up a character and peculiarities of cyto-morphological changes in cellular material of the peripancreatic liquid accumulations (LA) as a criterion of objective estimation of the clinical course severity in an acute complicated pancreatitis (ACP). Маterials and methods. Results of cyto-morphological investigation of the peripancreatic LA sediment, obtained while doing interventional ultrasonography in 51 (88%) observations and videolaparoscopy - in 7 (12%) observations in 58 patients with an ACP, were analyzed. Results. Of intraabdominal LA (n=37) observations in 10 (27 %) of them a domination of proliferating cells of mesothelium with their polymorphism was revealed, while in 15 (41%) - degenerative-dystrophic changes like a bulging of cytoplasm, appearance of large «signet-ring like» cells, in 12 (32%) - аtipically changed cells of mesothelium with signs of anizocytosis and anizonucleosis, as well as cyto-morphological changes like in neoplastic process. In retroperitoneal localization of LA (n=21) a more essential changes in the granulocytes nuclei were registered, including, in 9 (43%) observations their structure have got irreversible disorders: karyopycnosis, karyorexis and karyolysis. The depth of structural cellular changes in mesoteliocytes and neutrophil granulocytes have depended upon the ACP severity. Conclusion. Determination of depth of the cellular content cytomorphological disorders in the LA sediment may serve an objective criterion in the ACP severity estimation.https://hirurgiya.com.ua/index.php/journal/article/view/543acute complicated pancreatitis; liquid accumulations; cytological investigations
spellingShingle V. P. Andriushchenko
D. V. Andriushchenko
O. Yu. Andrushevska
L. M. Kohut
Cyto-morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitis
Клінічна хірургія
acute complicated pancreatitis; liquid accumulations; cytological investigations
title Cyto-morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitis
title_full Cyto-morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitis
title_fullStr Cyto-morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitis
title_full_unstemmed Cyto-morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitis
title_short Cyto-morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitis
title_sort cyto morphological investigation of cellular content of peripancreatic liquid accumulations in estimation of the clinical course severity in an acute complicated pancreatitis
topic acute complicated pancreatitis; liquid accumulations; cytological investigations
url https://hirurgiya.com.ua/index.php/journal/article/view/543
work_keys_str_mv AT vpandriushchenko cytomorphologicalinvestigationofcellularcontentofperipancreaticliquidaccumulationsinestimationoftheclinicalcourseseverityinanacutecomplicatedpancreatitis
AT dvandriushchenko cytomorphologicalinvestigationofcellularcontentofperipancreaticliquidaccumulationsinestimationoftheclinicalcourseseverityinanacutecomplicatedpancreatitis
AT oyuandrushevska cytomorphologicalinvestigationofcellularcontentofperipancreaticliquidaccumulationsinestimationoftheclinicalcourseseverityinanacutecomplicatedpancreatitis
AT lmkohut cytomorphologicalinvestigationofcellularcontentofperipancreaticliquidaccumulationsinestimationoftheclinicalcourseseverityinanacutecomplicatedpancreatitis