Apendicitis aguda postileal. Presentación de un caso y revisión de la literatura.

Abstract

Introduction: Acute appendicitis is the most common cause of acute surgical abdomen, whose clinical manifestations depend on many factors, including the anatomical position of the vermiform appendix. In the last decade several publications report a great discrepancy in the percentages of location, changing the incidence figures of classic positions previously published. We present the case of a male patient with acute appendicitis complicated with intraoperative findings of the postileal appendix. Case record: Male patient in the second decade of life, who comes to the emergency service due to a clinical symptom of colic type abdominal pain in right iliac fossa associated whit anorexia, nausea, emesis, whose paraclinics and Alvarado scale score suggestive of an acute abdomen inflammatory type secondary to a complicated acute appendicitis, motivate a surgical management. The intraoperative findings make the definitive diagnosis of acute postileal appendicitis in gangrenous stage. Conclusion: Acute appendicitis in the most common cause of acute surgical abdomen and the most frequent medical emergency surgery performed in a general hospital. It may present atypical because of variations in intraabdominal localization, which have changed in frequency as demonstrated by several studies in the last decade, thus highlighting the importance of diagnosis suspicion and the use of validated predictive scales for its early diagnosis and timely treatment.