Apendicitis aguda traumática. Reporte de caso
Irina López Sánchez, Pedro Rafael Casado Méndez, Rafael Salvador Santos Fonseca, Edier Fuentes Garcia
Resumen
Se presenta el caso de un hombre de 37 años sin antecedentes de dolor abdominal, o padecimiento de alguna enfermedad, que recibió un golpe directo con objeto romo (bate de béisbol) en el cuadrante inferior derecho del abdomen. Asistió a consulta con dolor abdominal selectivo en fosa ilíaca derecha, de aproximadamente 29 horas de evolución, que comenzó después de un trauma abdominal cerrado. Al examen físico se constata signo de Blumberg positivo, punto de McBurney doloroso con hiperestesia cutánea y cierto grado de defensa muscular. En los exámenes complementarios se comprueba leucocitosis y predominio de neutrófilos, con desviación a la izquierda. Se decidió realizar laparotomía exploratoria y se constató en el transoperatorio apendicitis aguda flegmonosa. La etiología traumática en la apendicitis aguda es un diagnóstico por exclusión que debe ser considerado en condiciones específicas.
Palabras clave
apendicitis/diagnostico; abdomen agudo.
Este artículo está licenciado bajo la licencia
Creative Commons Reconocimiento-NoComercial 4.0 Internacional .
ojs2 has produced an error
Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-redes sociales.php
In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php
At line: 64
Stacktrace:
File: (unknown) line (unknown)
Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-redes sociales.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64
Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-redes sociales.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40
Function: PhpQuickProfiler->gatherFileData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601
Function: PKPProfiler->getData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91
Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197
Function: Smarty->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220
Function: PKPTemplateManager->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264
Function: Smarty->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302
Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229
Function: PKPTemplateManager->display("article/article.tpl")
File: (unknown) line (unknown)
Function: ArticleHandler->view(Array(1), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370
Function: call_user_func(Array(2), Array(1), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266
Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(1), False)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129
Function: PKPPageRouter->route(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180
Function: Dispatcher->dispatch(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65
Function: PKPApplication->execute()
Server info:
OS: Linux
PHP Version: 5.6.40-0+deb8u12
Apache Version: Apache
DB Driver: mysql
DB server version: 10.1.48-MariaDB-0+deb9u2
ojs2 has produced an error
Message: WARNING: filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php
In file: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php
At line: 64
Stacktrace:
File: (unknown) line (unknown)
Function: PKPApplication->errorHandler(2, "filesize(): stat failed for /srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php", "/srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php", 64, Array(6))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/pqp/classes/PhpQuickProfiler.php line 64
Function: filesize("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/fc-pluginSettings-1-indexada en.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPProfiler.inc.php line 40
Function: PhpQuickProfiler->gatherFileData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 601
Function: PKPProfiler->getData()
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php line 91
Function: PKPTemplateManager->smartyGetDebugInfo(Array(0), Object(TemplateManager))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1869
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%CC^CCB^CCBBF62B%%footer.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 197
Function: Smarty->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php line 220
Function: PKPTemplateManager->_smarty_include(Array(2))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/lib/smarty/Smarty.class.php line 1256
Function: include("/srv/openjournal/sitios/www.medicentro.sld.cu/cache/t_compile/%%38^38D^38D7420B%%article.tpl.php")
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 264
Function: Smarty->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/template/PKPTemplateManager.inc.php line 302
Function: PKPTemplateManager->fetch("article/article.tpl", Null, Null, True)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/pages/article/ArticleHandler.inc.php line 229
Function: PKPTemplateManager->display("article/article.tpl")
File: (unknown) line (unknown)
Function: ArticleHandler->view(Array(1), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPRouter.inc.php line 370
Function: call_user_func(Array(2), Array(1), Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPPageRouter.inc.php line 266
Function: PKPRouter->_authorizeInitializeAndCallRequest(Array(2), Object(Request), Array(1), False)
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/Dispatcher.inc.php line 129
Function: PKPPageRouter->route(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/lib/pkp/classes/core/PKPApplication.inc.php line 180
Function: Dispatcher->dispatch(Object(Request))
File: /srv/openjournal/sitios/www.medicentro.sld.cu/index.php line 65
Function: PKPApplication->execute()
Server info:
OS: Linux
PHP Version: 5.6.40-0+deb8u12
Apache Version: Apache
DB Driver: mysql
DB server version: 10.1.48-MariaDB-0+deb9u2