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Может развиваться в любой части кишечника, но чаще всего локализуется в слепой кишке, толстом кишечнике и прямой кишке [1](https://semeynaya.ru/directions/khirurgiya/abstsess-kishechnika/). \n\n**Важно своевременно обратиться к врачу** — диагностикой и лечением абсцесса кишечника занимается хирург [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). Без своевременного лечения заболевание может привести к тяжёлым осложнениям, таким как перитонит или сепсис [8](https://assuta.online/medical/absczess-bryushnoj-polosti-prichiny-i-simptomy/).\n\n## Причины\nНекоторые причины абсцесса кишечника: \n* **Распространение инфекции** из прилежащих областей, например, из-за перфорации язвы двенадцатиперстной кишки, деструктивного аппендицита, перитонита [3](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-abscess). \n* **Послеоперационные осложнения** — абсцесс может быть следствием недостаточно эффективного дренирования, неполного удаления выпота или повреждённых тканей, нагноения послеоперационной гематомы [3](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-abscess). \n* **Отдалённые очаги** — в некоторых случаях абсцесс в кишечнике образуется в результате гематогенного (с током крови) или лимфогенного (с током лимфы) заноса инфекции из отдалённых гнойных очагов, например, при ангине, остеомиелите, фурункулёзе [3](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-abscess). \n\nВ 8% случаев конкретную причину развития абсцесса кишечника установить не удаётся [3](https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/intestinal-abscess).\n\n## Симптомы\nКлиническая картина зависит от размеров и локализации очага [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). Некоторые симптомы: \n* повышение температуры тела [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* признаки интоксикации (слабость, тошнота, головная и мышечная боль) [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* боли в животе — от тупых и неясных до острых, усиливающихся при движении [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* напряжение мышц брюшной стенки [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/); \n* нарушения мочеиспускания и стула [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n\nПри прогрессировании может развиться тяжёлая клиника перитонита [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/).\n\n## Диагностика\nДля постановки диагноза используют: \n* **Сбор анамнеза** — данные о перенесённых операциях, воспалениях, травмах [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Физикальное обследование** — пальпация живота, выявление симптомов раздражения брюшины [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Лабораторные анализы** — повышение лейкоцитов, маркеров воспаления [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/). \n* **Инструментальные методы** — УЗИ органов брюшной полости, КТ или МРТ для уточнения локализации, рентгенография (может показать скопление газа под диафрагмой) [4](https://cmrt.ru/zabolevaniya/vospalitelnye-infektsionnye/abstsess-v-bryushnoy-polosti/).\n\n## Лечение\nЛечение абсцесса кишечника зависит от его размера, локализации и степени влияния на окружающие органы и ткани [1](https://semeynaya.ru/directions/khirurgiya/abstsess-kishechnika/): \n* **При небольшом абсцессе**, который не распространяется за пределы кишечника, может быть назначена **консервативная терапия** — приём антибиотиков, противовоспалительных и обезболивающих средств [1](https://semeynaya.ru/directions/khirurgiya/abstsess-kishechnika/). \n* **При крупном абсцессе** или его распространении на близлежащие органы и ткани может потребоваться **хирургическое вмешательство** [1](https://semeynaya.ru/directions/khirurgiya/abstsess-kishechnika/). 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