2014, Number 3
Revista Cubana de Cirugía 2014; 53 (3)
Pol HPG, López RP, León GO, Cruz AJR, Satorre RJ
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ABSTRACTIntroduction: in the last few years, acute appendicitis have occurred more frequently in the old age due to increased life expectancy and is associated to higher incidence of perforation and higher mortality rates.
Objective: to characterize the behavior of acute appendicitis in the elderly at "Enrique Cabrera" hospital in a six year period.
Methods: a retrospective and descriptive study was made in which 57 medical histories of over 60 years-old patients, who had been seen at "Enrique Cabrera" hospital, were reviewed. They had been operated on for acute appendicitis in the period of January 2006 through December 2011. The most important variables were age, sex, clinical picture, surgical findings, complications and biopsy reports.
Results: males aged over 60 to 69 years predominated. The typical abdominal pain also prevailed. The most frequent surgical finding was uncomplicated acute appendicitis. The surgical site infection was the primary complication. All the surgical patients recovered satisfactorily.
Conclusions: in this group of patients, over 60 years-old males operated on for acute appendicitis, the typical abdominal pain and the classical signs of the disease predominated. The suppurative phase of the appendage was mainly observed. The recovery of the patients was favorable.