Salas SE

Language: Spanish
References: 19
Page: 395-399
PDF size: 155.42 Kb.

ABSTRACT

Acute appendicits is a major cause of acute abdomen and a major surgical indication in emergency department. It is a very common condition so its clinical manifestations have been extensively studied. Although it is very common, there can be atypical manifestations that cause delay in surgical approach, resulting in higher pre, intra and postoperative complications. Among the most common special cases that require more attention are pregnant patients, patients with HIV/AIDS and pediatric patients. This article will mainly address the last three issues, giving a primary focus on their differences at diagnosis. In conclusion, one must perform a thorough physical exam and consider the respective laboratory abnorma lities that are usually present in these patients; this combined with an assessment of imaging in doubt for prompt surgical diagnostic resolution.

REFERENCES

1. Antimicrobial pophylaxis for surgery, Treatement Guidelines Med Lett 2009; 7:47.

2. Baumgartner F, Klein S. The presentation and management of the acute abdomen in the patient with sickle-cell anemia. Am Surg 1989

3. Bundy DG, Byerley JS, Liles EA, et al. Does this child have appendicitis? JAMA 2007; 37:15

4. Chung CH, Ng CP, Lai KK, Delays by patients, emergency physicians, and surgeons in the management of acute appendicitis: retrospective study. Hong kong Med J 2000.

5. Donkervoort SC, Boerma D. Suspicion of acute appendicitis in the third trimester of pregnancy: pros and cons of a laparoscopic procedure. JSLS 2011.

6. F. Charles. Brunicardi-Seymour I. Schwartz. Schwartz´ principles of surgery. New York. McGraw-Hill Medical Pub Division 2010. 9th Ed.

7. Ferguson CM. Surgical complications of human immunodeficiency virus infection. Am Surg 1988.

8. Hodjati H, Kazerooni T. Location of the appendix in the gravid patient: a reevaluation of the established concept. Int J Gynaecology Obstetrics 2003.

9. Michael W. Mulholland. Keith Lillemoe. Gerard Doherty. Ronald Maier. Gilbert Upchurch. Greenfield´s surgery: scientific principles and practice. Philadelphia. Lippincott Williams & Wilkins. 2005. Fifth edition.

10. Parente F, Cernuschi M, Antinori S et al. Severe abdominal pain in patients with AIDS: frecuency, clinical aspects, causes and outcome. Scand J Gastroenterology 1994.

11. Peter J. Fagenhols, Marc A. De Moya. Acute inflammatory surgical disease. Surg Clin N Am 2014.

12. Rabah R. Pathology of the appendix in children: an institutional experience and review of the literature. Pediatric Radiol 2007; 37:15

13. Reynolds SL, Jaffe DM. Diagnosing abdominal pain in a pediatric emergency department. Pediatric Emergency Care 1992; 8:126.

14. Scholer SJ, Pituch K, Orr DP, Dittus RS. Clinical outcomes of children with acute abdominal pain. Pediatrics 1996; 98:680.

15. Tamir IL, Bongard FS, Klein SR. Acute appendicitis in the pregnant patient. Am J Surg 1990.

16. Temple CL, Hutchcroft SA, Temple WJ. The natural history of appendicitis in adults. A prospective study. Ann Surg. 1995; 221: 278

17. Thuluvath PJ, Connolly GM, Forbes A, Gazzard BG. Abdominal pain in HIV infection. Q J Med 1991; 78:275Ferg

18. Vasireddy A, Atkinson S, Shennan A, Bewly S. Management of appendicitis. Surgical management remains the best option during pregnancy. BMJ 2012.

19. Walsh CA, Tang T, Walsh SR. Laparoscopic versus open appendicectomy in pregnancy: a systematic review. Int J Surg 2008.