Review of operated cases with clinical diagnosis of acute appendicitis in patients
DOI:
https://doi.org/10.51481/amc.v45i2.115Keywords:
Apendicitis aguda, grado clínico patológico, tratamientos previos, apendicectomía, diagnósticotemprano, enfermedad de morera, dolor abdominal agudoAbstract
Justification and Objectives: Acute appendicitis is the most frequent abdominal surgical emergency in children. The objective of the present study was to conduct a medical surgical analysis regarding the most frequent age group, gender, grade of appendicitis and previous treatments used in appendi-cectomized patients at the Pediatric Surgery department of the San Carlos Hospital.
Methods: One hundred and twenty patients of both genders were appendectomized at the Pediatric Surgery department of the San Carlos Hospital, their ages ranged from hours old neonates to thirteen years old, between January 1999 to Au-gust 2001. The gathering of data was carried out by the author in an exhaustive review of clinical histories and files.
Results: Among the 120 patients operated, the most frequent age group was from 10 to 13 years old, there were more ma-less than females; most were classified as being second grade appendicitis. Non-steroidal anti-inflammatory drugs as well las non opiate analgesics were among the previous medical treatments more widely used. The patients who stated having received previous medical treatment presented a higher grade of clinical appendicitis during surgery and in the pathology specimens.
Conclusions: The diagnosis of acute appendicitis is mainly clinical. Late diagnosis and delay in medical treatment are important factors that increase the morbidity and mortality of the pediatric patient.
Downloads
References
Ashcraft K,Holder T,Cirugía pediátrica,Apendicitis,México:Mc-Graw-Hill,Segunda edición,1995,39:484-491.
Madrigal G,Manual de diagnóstico y terapéutica en pediatría,Apendi-citis aguda,Primera edición,San José Costa Rica,Editorial de la Uni-versidad de Costa Rica,1995:92-102.
Hatch E,Clínicas Pediátricas de Norteamérica,Cuadro abdominal agu-do en niños,USA:Emalsa S.A,1985,32:1201-1213.
Schwartz S,Shires T,Spencer F,Principios de cirugía,apéndice,Mé-xico:McGraw-Hill,Sexta edición,1995,Vol. II:1347-1357.
Doherty G,Meko J,. Olson J, Peplinski G, Worrall N, Washington Ma-nual de cirugía. Apendicitis aguda,Segunda edición. Marban Libros,Madrid España. 2001:228-235.
Hardin M,Acute appendicitis:review and update.Am Fam Physician1999; 60:2027-34.
Santiago P,Barberousse C. Correlación clínico-histopatológica enapendicitis aguda. GEN 1995; 49(2):140-4.
Talavera F,Prueba radiológica para la detección de casos dudosos deapendicitis aguda en niños. Am Surg 217:115,1993.
Cotran R,Kumar V,Robbins S, Patología estructural y funcional.Apéndice. México:McGraw-Hill,Cuarta edición,1990,Volumen II:950-952.
Aach R,Ansell J,Atkins E,Bauwens D,Blacklow R,Cahill G,et al.Signos y síntomas de McBryde. Dolor abdominal. Prensa TécnicaS.A,1990:173-187.
Schwartz S,Ellis H,Cowles W,Maingot:Operaciones abdominales,8aEd,Buenos Aires,Edit Médica Panamericana S.A.,1986:1225-53.
Caballero F,Duarte L,Morales L:Apendicitis aguda. Trib Med 1991;83(4):143-6.
Pera C,Cirugía:Fundamentos,indicaciones y opciones técnicas. 1a Ed,Barcelona,Ediciones Científicas y Técnicas S.A. 1983.
Matamoros M,Cortes J,Emergencias en pediatría. Instituto Costarri-cense de Investigaciones Clínicas,Primera edición,San José CR,Edi-torial ICIC 1996:134-141.
SanseveroA,J. appendicitis. Online Pediatric Surgery Handbook forResidents and Medical Students. URL:http://www.mja.com.au/> ©1998 Medical Journal of Australia.
Isaac Lobo. Estudio advierte sobre extirpación de apéndices. Periódi-co Al día . Costa Rica. Miércoles 17 de julio de 2002. Sección Socie-dad. Página 2.
Sadovsky R,Acute appendicitis in children:emergency departmentdiagnosis and management. Ann Emerg Med July 2001;36:39-51.
Dale R,Acupuntura con sus dedos:Un sistema curativo de dieciochopuntos Dialectc Publications,inc. Surfside,Florida,1989
Suárez R,Blanco R,Sánchez P,Mier J,Castillo A,Robledo F,et alApendicitis aguda complicada. El valor diagnóstico temprano. Cir Ci-ruj 1997; 65(3):65-68.
Echavarría R,Ferrada R,KestenbergA. Apendicitis aguda. Urgenciaquirúrgica. ASPROMEDICA y Universidad del Valle. Cali. 1995:. 62-65
Scott H Plantz. EMedicine Consumer Journal,December 17,2000,Vo-lume 1,Number 12
Downloads
Published
Issue
Section
License
Copyright (c) 2008 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
