title: [Acute abdominal syndrome in blood system diseases].
abstract: OBJECTIVE
  To define an optimal diagnostic and therapeutic algorithm when the acute abdominal syndrome occurs in hematological patients.
  
  
  METHODS
  The results of 145 emergency surgeries made in 2006-2008 for acute abdominal syndrome were studied in patients with blood system diseases.
  
  
  RESULTS
  Clinical manifestations of acute abdominal syndrome emerge in 1-1.4% of all the patients treated at the Hematology Research Center, Russian Academy of Medical Sciences. There is a need for surgery in 0.5-0.7% of all the patients admitted. In this group of patients, annual postoperative mortality is 12-16%.
  
  
  CONCLUSIONS
  The routine algorithm for a diagnostic search in hematological patients with acute abdominal syndrome can lead to both hyperdiagnosis and unwarranted surgery, and incorrect choice of expectant policy as well.
authors.forename: S R
authors.initials: SR
authors.lastname: Karagiulian
authors.forename: S A
authors.initials: SA
authors.lastname: Shutov
authors.forename: A V
authors.initials: AV
authors.lastname: Grzhimolovskiĭ
authors.forename: V S
authors.initials: VS
authors.lastname: Shavlokhov
authors.forename: E A
authors.initials: EA
authors.lastname: Lukina
authors.forename: E E
authors.initials: EE
authors.lastname: Zvonkov
authors.forename: E M
authors.initials: EM
authors.lastname: Shulutko
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Bulanov
authors.forename: S A
authors.initials: SA
authors.lastname: Vasil'ev
authors.forename: G A
authors.initials: GA
authors.lastname: Sukhanova
authors.forename: N A
authors.initials: NA
authors.lastname: Shutova
authors.forename: I B
authors.initials: IB
authors.lastname: Kaplanskaia
authors.forename: I I
authors.initials: II
authors.lastname: Shaforostova
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D003938:Diagnostic Techniques, Digestive System; D017809:Fatal Outcome; D005260:Female; D005500:Follow-Up Studies; D006402:Hematologic Diseases / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008297:Male; D012189:Retrospective Studies; D013577:Syndrome; D055815:Young Adult