An infiltrate is an area of living body tissue with an uncharacteristic accumulation of cellular elements with which lymph and blood are mixed.
In medicine, it is customary to subdivide a cluster into two large groups having subspecies. Physiological infiltrate includes lymphs, nodes, and so on. The items of pathological accumulation include products of inflammation.
The appendicular infiltrate includes the appendix, the adjacent part of the loop of the intestine and cecum, large omentum, mesentery. This accumulation of organs and tissues forms three to four days. Appendicular infiltrate refers to complications of destructive appendicitis.
On examination , the surface and moisture of the tongue, pallor of the skin, low-grade fever are revealed. Appendicular infiltrate is accompanied by pain on the right in the iliac region. The pain subsides a little four days after the onset of the disease. This indicates that the formation of infiltrate is over. Patients also have tachycardia. On palpation, local pain on the right in the iliac region is observed. In addition, the presence of a sedentary dense formation with uneven contours is revealed. Appendicular infiltration may be accompanied by local weakly positive symptoms of peritoneal irritation.
With the course of the disease, nonspecific inflammatory signs in the blood are detected (leukocytosis, accelerated ESR), a panoramic radiograph shows a violation of pneumatization in the intestinal loops.
The diagnosis is differentiated from gynecological diseases and tumors of the intestine.
For persons diagnosed with this infiltrate, conservative treatment is used. Surgical intervention is contraindicated in this case. This is due to the fact that the separation of the infiltrate is accompanied by damage to the intestinal walls. When the disease is prescribed topically cold, antibiotic therapy, rest. When acute phenomena subside, physiotherapeutic procedures (UHF) are prescribed. After conservative treatment, the patient is recommended to perform very light physical exercises. These, for example, include yoga for beginners.
Resorption of the infiltrate, as a rule, occurs within two to three weeks. After three to six months, a planned appendectomy may be prescribed.
The formation of infiltrate can lead to suppuration and the appearance of an appendicular abscess, which is an indication for surgical intervention. An emergency operation is prescribed in case of peritonitis caused by an inferior barrier function.
Tumor infiltrate includes tumor cells of various nature. These include cancer, sarcoma, etc. This cluster refers to the manifestation of the infiltrating development of the tumor. Its clinical symptoms are usually manifested by pain of varying severity in the affected area, depending on the degree of tissue size increase. The disease accompanies the inflammatory process that provokes stenosis of the affected area. In this case, the normal structure of healthy cells is violated with a systematic increase in the number of affected inflamed cells. A continuously ongoing process as a result can provoke dysfunction of not only the infected organ itself, but also the whole organism.
Complications of cancer can contribute to the formation of tumor infiltrate. So, in the colon and rectum, for example, a malignant neoplasm is detected. It leads to infiltration. Colonoscopy is used to diagnose this neoplasm. This method allows you to visualize the complication and conduct a biopsy. According to the research results, the optimal treatment tactics is chosen.