В статье представлены результаты работы Омской области по организации оказания помощи девочкам и подросткам с гинекологической патологией, проведен анализ основной патологии органов репродуктивной системы, отражена структура оперативных вмешательств, проанализирована динамика случаев беременности и абортов у несовершеннолетних за 2016-2019 гг. Определены важные достижения и обозначены перспективы развития. Ключевые слова: репродуктивное здоровье, детская гинекология, дети и подростки Финансирование. Исследование не имело спонсорской поддержки. Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.
Introduction. Dirofilariasis of the scrotum is one of unusual manifestations of this zoonosis in children, especially in regions which are outside the distribution area of this helminth what causes certain difficulties in preoperative diagnostics. Purpose. To describe a clinical case so as to warn physicians about a possibility of meeting dirofilariasis infection in the scrotum outside the area of this helminth location. Clinical case. The authors present a clinical case of a child with a parasitic cyst simulating tumor in the scrotum for what an oncologist was invited for the consultation. At the examination, a rounded formation adjoining the left testicle, densely elastic in consistency, with smooth borders, motionless to the testicle, painless on palpation was revealed. The child did not leave the region. A parasitic cyst of the scrotum was removed in the clinic of pediatric surgery. Results. Histopathology confirmed cyst parasitic origin; the revealed parasite was identified as Dirofilaria repens because of characteristic morphological features. The child was found healthy at one-year follow up examination. Conclusion. Though the disease is rarely met, dirofilariasis should be included in the differential diagnostics in case of mass formations in the scrotum in children.
Features of chronic pelvic pain in adolescent girlsChronic pain is one of the leading problems nowadays, due to its widespread prevalence and difficulty in selecting effective therapy. Based on the results of the conducted studies, the article shows the prevalence of chronic pain, including chronic pelvic pain in adolescents, and demonstrates a positive association with anxiety-depressive syndrome. A multidisciplinary examination of adolescent patients made it possible to determine the causes of chronic pelvic pain, both gynecological (endometriosis, volumetric formations of the uterine appendages) and non-gynecological (ceco-ileal reflux, coloptosis, adhesive disease of the abdominal cavity organs), prescribe appropriate treatment and achieve a persistent positive effect in the form of relief of pain syndrome in 65% of cases, and a significant decrease in the severity of pain in 28% of cases, p0.05.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.