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>Journals >Cirujano General >Year 2017, Issue 4


García-Valenzuela SE, Bonilla-Catalán PV, Quintero-García B, Trujillo-Bracamontes FS, Ríos-Beltrán JC, Sánchez-Cuén JA, Valdez-Avilés D
Acute surgical abdomen: a diagnostic challenge
Cir Gen 2017; 39 (4)

Language: Español
References: 25
Page: 203-208
PDF: 4. Kb.


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ABSTRACT

Introduction: Abdominal pain is a very common symptom, caused by a broad spectrum of diseases and disorders, most of which have a benign origin; however, in some situations, the cause is a serious process or life-threatening disease. Objective: To determine how many consultations are required for the diagnosis of acute surgical abdomen. Material and methods: We conducted a cohort of patients operated on with a diagnosis of acute surgical abdomen at Culiacan’s Regional Hospital, ISSSTE, in the period from September 2015 to January 2016. Results: The sample consisted of a total of 56 patients operated on for acute abdomen; the most frequent causes were acute appendicitis (62.5%) and biliary pathology (23.3%). In 41.1% (IC 95%: [28.1, 55.0]) of the patients, there was a change in the initial diagnosis. There were 69 valuation consultations among the 56 operated patients, who had to undergo an average of 1.3 ± .5 consultations. Conclusions: Up to two consultations were required for the diagnosis of acute surgical abdomen; when the number of consultations is higher, the probability of an erroneous diagnosis increases up to 12 times.


Key words: Abdominal pain, acute abdomen, emergency services, diagnosis, evaluation, medical education.


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