CREAMS OF TARTAR (synonym phleboliths) — the roundish limy educations which are found in gleams of veins.
For the first time V. to. were described by H. Albers-Shonberg in 1905. In the majority of observations of V. to. freely lie in a gleam of a vein, but can be sometimes connected with a wall. The size B. to. from 1 to 12 mm in the diameter fluctuate. The quantity them can reach 200.
D. Grinevich, analyzing 500 roentgenograms of an abdominal cavity and the basin made in different occasions found phleboliths in 127 cases. The chemical analysis demonstrates that V. to. contain 66,07% of inorganic matters and 33,93% organic.
Macroscopically multiple V. to. remind clusters of grapes; at a gist. a research — walls of veins are sclerosed, quite often hyalinized, gleams of veins of an obturirovana limy masses. Sometimes the center of limy stones is presented by unstructured dense material of a homogeneous look.
Phleboliths most often in veins of a spleen (fig.), wide ligaments of a uterus, in plexus venosus prostaticus and pampiniformis are localized, is much more rare in hepatic and pulmonary veins and veins of upper extremities. On the lower extremities phleboliths are formed in varicose expanded veins of shins and at thrombophlebitises.
An origin of V. to. the blood clot formed in a vein which shrinks and becomes impregnated further with salts of calcium (see is. Petrifikat ). According to A. I. Abrikosov, a main issue in petrification of blood clot is absence of the organization and its wrinkling. Some V. to. ossifications are exposed.
In most cases V. to. do not give any symptomatology. They are found generally at X-ray inspection, superficially located revealed palpatorno. Century to. sometimes are the reason of diagnostic mistakes at diseases of urinogenital bodies especially of ureters. Cases of wrong operations for the stones of uric system which appeared phleboliths of veins of pelvic bodies are known. It is also necessary to differentiate V. to. with calciphied limf, nodes of an abdominal cavity. Any circulatory disturbances of V. to. do not cause, do not demand specific treatment.
Bibliography: 3akov S. B. Phleboliths and their value in differential diagnosis of stones of uric system, Saturday. works, it is devoted. to 40-year anniversary of H. Je. Stern, page 252, Saratov, 1941; Kovalenko V. S. Phleboliths of maxillofacial area, Doctor, business, No. 10, page 1089, 1959; Kovinsky T. P. To radiodiagnosis of phleboliths, Zdravookhr. Kazakhstan, No. 1, page 58, 1959.
A. E. Podolsky.