Abdomen agudo quirúrgico

  1. Caínzos Fernández, M.A. 1
  2. Domínguez Comesaña, E. 1
  3. González Rodríguez, F.J. 1
  4. Blanco Freire, M.N. 1
  5. Parada Gozález, P. 1
  6. Lesquereux Martínez, L. 1
  7. Fernández López, F. 1
  1. 1 Departamento de Cirugía. Servicio de Cirugía General. Complejo Hospitalario Universitario de Santiago de Compostela. Universidad de Santiago de Compostela. Santiago de Compostela. A Coruña, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Ano de publicación: 2020

Título do exemplar: Enfermedades del aparato digestivo (X)Patología urgente y quirúrgica abdominal

Serie: 13

Número: 10

Páxinas: 523-540

Tipo: Artigo

DOI: 10.1016/J.MED.2020.06.001 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumo

El término abdomen agudo engloba una serie de cuadros clínicos que tienen en común el dolor abdominal intenso, a menudo de aparición súbita, la alteración del tránsito intestinal y la afectación del estado general, y que suelen requerir cirugía urgente. Existen enfermedades no quirúrgicas que pueden cursar con sintomatología parecida; por ello, lo más importante es establecer si es necesaria o no la cirugía y si esta debe ser urgente o diferida. El abdomen agudo quirúrgico puede ser, fundamentalmente, de origen inflamatorio (apendicitis, colecistitis, diverticulitis), perforativo (perforación de úlcera péptica, perforación intestinal), obstructivo (oclusión de intestino delgado o colon) y hemorrágico (traumatismo, embarazo ectópico). En esta actualización se revisan los cuadros más frecuentes de cada tipo (apendicitis, perforación de víscera hueca, obstrucción por neoplasia de colon y traumatismo abdominal) y una situación especial, la de la mujer embarazada que necesita un manejo con ciertas peculiaridades, tanto para el diagnóstico como para el tratamiento.

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Fonte de datos: Dialnet