It is very common for blisters to appear in abdominal organs, but if the blisters are larger than 10 centimeters, they should be treated immediately. (Photo/Provided by Chiayi Chang Gung Memorial Hospital, the same below)
Reporter Jian Zhonghao/Comprehensive Report
Blisters in abdominal organs are a very common problem, especially blisters in the kidneys and liver. According to According to research statistics, 3% of people under 40 years old have blisters found in abdominal ultrasound examination, while over 60 years old can reach more than 24%. The older you are, the higher the rate. For people over 70 years old, about 35% More than % have found blisters.
Dr. Zhang Hongyu, director of the Nephrology Department of Chiayi Chang Gung Memorial Hospital, said that most blisters in the liver and kidneys are benign, and most of them are asymptomatic. However, if the blisters are too large and exceed 10 centimeters, they may cause symptoms, such as pain, infection, indigestion, etc. , then immediate treatment is required.
Zhang Hongyu pointed out that there was a 62-year-old female patient who had been in good health for a long time. Except for the past six months, she felt a slight swelling and pain in her right waist. She thought it was a problem of bone degeneration and did not take it seriously. Later, I went to the hospital emergency department for treatment because of a fever. The initial diagnosis was a urinary tract infection. After treatment, the infection and fever problem quickly improved. However, during the emergency department, an abdominal computed tomography examination was performed and it was found that there was a diameter of nearly 13 cm in the right kidney. huge blisters.
Zhang Hongyu said that after the patient's infection was completely treated, the feeling of tightness and swelling in the right waist still existed. He discussed the treatment method with the patient and his family, and finally decided to cooperate with the diagnostic radiologist to use catheter drainage and then apply 95% pure alcohol for hardening. Treatment, treatment was successful. After discharge, the patient was followed up in the outpatient clinic. In addition to improvement in symptoms, ultrasound examination showed that the blisters did not grow back.
If the blisters in the abdominal organs are larger than 10 cm, they may cause pain, infection, indigestion and other symptoms.
Another 62-year-old female patient has polycystic kidney disease inherited in her family. She has countless blisters in her liver and kidneys, and her kidney function has gradually deteriorated. Later, she went to the emergency department in Chang Geng, Chiayi City due to right upper abdominal pain. In fact, in addition to abdominal pain, she also had a long-term problem of poor appetite. During the emergency computer tomography examination, it was discovered that there was a 17 cm diameter blister in the liver, which was simply bigger than a child's head. Causes upper abdominal pain and loss of appetite.
was evaluated and treated with the same method, but the treatment of this patient was more difficult than the previous patient. The catheter was placed into the blister sac and 150 to 240cc of exudate continued to flow out every day, so alcohol sclerotherapy could not be performed until a After the menstrual period, the exudate was less than 50cc per day before about 100cc of pure alcohol was injected for treatment, and the patient was discharged after a few days. Three months after discharge, ultrasound follow-up showed that although there were still many small blisters in the liver, the 17-centimeter large blister was no longer detectable. The patient's symptoms improved a lot and his appetite increased. A recent follow-up visit revealed that the patient had gained 3 pounds. Kilogram.
The less invasive catheter drainage followed by pure alcohol sclerotherapy treatment results in a fast recovery.
Liao Yushan, a physician at the Diagnostic Radiology Department in Chang Gung, Chiayi, pointed out that the current technology of inserting a catheter for drainage and administering no more than 100cc of 95% alcohol under appropriate conditions is a very mature treatment method. The radiology department has established a complete set of As for the treatment process, if a patient has symptoms of discomfort caused by huge blisters, he or she can choose this treatment method after being evaluated by a doctor. Its advantages are simpler than surgical treatment and recovery is faster.
Zhang Hongyu also reminded the public that if you have liver and kidney blisters, you should follow up regularly every six months to a year. If symptoms occur, you can treat them. After evaluation by a doctor, you can give priority to less invasive catheter drainage followed by pure alcohol. Sclerotherapy.
