POSSIBILITIES OF RADIOLOGY METHODS
IN THE DIAGNOSIS AND ASSESSMENT OF THE PREVALENCE OF MERCURIALISM
Chekhonatskaya M.L.1, Iljasova E.B.1, Bobylev D.A.1,
Chekhonatskiy A.A.1, Nikolenko V.N.2,3, Kondratieva O.A.1
1 - V.I. Razumovsky Saratov State Medical University. Saratov, Russia.
2 - Sechenov University. Moscow, Russia.
3 - Lomonosov Moscow State University. Moscow, Russia.
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emonstration of a rare clinical case of a patient with extensive spread of mercury in the organs of the thoracic cavity, diaphragm, liver, spleen, kidneys, bladder, vascular structures.
Materials and methods. The patient is 43 years old. The following methods of diagnostics were carried out: overview radiography of the thoracic and abdominal cavities, pelvic organs; multispiral computed tomography (MSCT) examination with standard scanning parameters with multiplanar reconstruction (MPR) and 3D visualization with color mapping of metal structures; toxicochemical laboratory diagnostics of biological media (blood and urine).
Results. With multispiral computed tomography, the presence of mercury accumulation sites in the lungs, abdominal cavity and pelvis was confirmed, their localization in the diaphragm, liver, spleen, kidneys, prostate gland, bladder, testicles, vascular structures were additionally established. The toxico-chemical laboratory diagnostics of biological media (blood and urine) with the detection of mercury was decisive in the diagnosis of mercurialism.
Discussion. The accumulation of mercury in the body can be detected for the first time by radiography, which is then supplemented by MSCT. MRI is dangerous and ineffective due to the metallic nature of foreign bodies. The final diagnosis is established during toxicochemical laboratory studies of biological media with the detection of mercury.
Conclusion. Changes in organs with mercurialism are nonspecific. To identify areas of mercury accumulation, the first stage method is radiography, which gives a fairly vivid picture of mercury foci, but to clarify the prevalence of mercury accumulation sites, MSCT should additionally be used. Toxico-chemical laboratory diagnostics of biological media (blood and urine) with the detection of mercury makes it possible to finally verify the diagnosis of "mercurialism", while repeated confirmatory tests and monitoring of the excretion of mercury from the body are necessary.
Keywords: mercurialism, radiography, multispiral computed tomography.
Corresponding author: Chekhonatskiy A.A., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript
For citation: Chekhonatskaya M.L., Iljasova E.B., Bobylev D.A., Chekhonatskiy A.A., Nikolenko V.N., Kondratieva O.A. Possibilities of methods of radiation diagnostics in the diagnosis and assessment of the prevalence of mercurialism. REJR 2023; 13(3):170-178. DOI: 10.21569/2222-7415-2023-13-3-170-178.
Received: 05.04.23 Accepted: 11.09.23