title: [Combined echinococcosis management in children].
abstract: OBJECTIVE
  To analyze the results of diagnosis and treatment of combined echinococcosis.
  
  
  METHODS
  The study included 51 children. 40 (78.4%) of them had combined lesion of liver and other organs, 29 - combined echinococcosis of liver and lungs. Echinococcosis of both lungs was observed in 14 children including lesion of liver in 6 cases. Combined echinococcosis of three organs was observed in 5 patients.
  
  
  CONCLUSIONS
  Combined echinococcosis in children was associated with uneven growth of parasitic cysts in various tissues. Small cysts were revealed in 15 (37.5%) out of 40 observations of combined lesion of liver and other organs. 7 patients underwent medical therapy for small cysts after previous surgery for medium and large cysts. Rapid growth of remained cysts occurred within 1-3 months between surgical stages. It may be often associated with complications related to remained cyst especially in case of both lungs echinococcosis. There were 6 (11.8%) postoperative complications in 51 patients with combined echinococcosis. Recurrence occurred in 2 (3.9%) children. Deaths were absent.
  
  
  CONCLUSIONS
  Conservative therapy for small cysts provides 2-fold decrease of operations number and prevents recurrence of the disease. Reduced period between surgical stages up to 11±2 days prevents complications in case of both lungs echinococcosis.
authors.affiliation: Bashkir State Medical University, Republican Children's Clinical Hospital, Ufa, Russia.
authors.forename: R Kh
authors.initials: RK
authors.lastname: Shangareyeva
authors.affiliation: Bashkir State Medical University, Republican Children's Clinical Hospital, Ufa, Russia.
authors.forename: A A
authors.initials: AA
authors.lastname: Mirasov
authors.affiliation: Bashkir State Medical University, Republican Children's Clinical Hospital, Ufa, Russia.
authors.forename: V V
authors.initials: VV
authors.lastname: Glazyrina
authors.affiliation: Bashkir State Medical University, Republican Children's Clinical Hospital, Ufa, Russia.
authors.forename: E K
authors.initials: EK
authors.lastname: Timerbaeva
mesh_terms: D000293:Adolescent; D001921:Brain / Q000000981:diagnostic imaging; D002648:Child; D002675:Child, Preschool; D000072700:Conservative Treatment / Q000379:methods* / Q000706:statistics & numerical data; D004210:Dissection / Q000009:adverse effects / Q000379:methods; D004443:Echinococcosis / Q000175:diagnosis / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D011859:Radiography / Q000379:methods; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology; D055502:Secondary Prevention / Q000379:methods / Q000706:statistics & numerical data; D012720:Severity of Illness Index; D013154:Spleen / Q000000981:diagnostic imaging; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods