Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease

Detalhes bibliográficos
Autor(a) principal: Todescatto, Alexandra Damasio
Data de Publicação: 2014
Outros Autores: Laranjeira, Felipe Ferreira, Gasperi, Júlia De, Lehmann, Davyd Emaanuel Fin de, Lacerda, Bruna Schmitt de, Winckler, Diego Carrao, Breigeiron, Ricardo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Scientia Medica (Porto Alegre. Online)
DOI: 10.15448/1980-6108.2014.1.16339
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.16339
Resumo: AIMS: To expose a case of acute abdomen due to appendicitis whose diagnosis was difficult and complicated because of the patient's profile and his comorbidities. CASE DESCRIPTION: Male patient, 52 years old, superobese, smoker and with chronic liver disease, complaining of acute abdominal pain in the right hypochondrium, vomiting and low diuresis. Initially with no signs of peritoneal irritation, the patient was medically managed, but presented worsening of clinical status, progressing to shock and cardiac arrest. The investigation by laparotomy found acute appendicitis, collateral circulation and liver cirrhosis. CONCLUSIONS: Acute abdomen has great impact on emergency care and, since it comprises several clinical situations, knowing and suspecting its main causes and its atypical presentations becomes essential, mainly in cases of difficult diagnosis.
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spelling Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver diseaseAbdome agudo por apendicite com apresentação atípica levando a choque em paciente obeso e hepatopata crônicoABDOMINAL PAINACUTE ABDOMENAPPENDICITISSCHOCKSEPTIC.DOR ABDOMINALABDÔMEN AGUDOAPENDICITECHOQUE SÉPTICO.AIMS: To expose a case of acute abdomen due to appendicitis whose diagnosis was difficult and complicated because of the patient's profile and his comorbidities. CASE DESCRIPTION: Male patient, 52 years old, superobese, smoker and with chronic liver disease, complaining of acute abdominal pain in the right hypochondrium, vomiting and low diuresis. Initially with no signs of peritoneal irritation, the patient was medically managed, but presented worsening of clinical status, progressing to shock and cardiac arrest. The investigation by laparotomy found acute appendicitis, collateral circulation and liver cirrhosis. CONCLUSIONS: Acute abdomen has great impact on emergency care and, since it comprises several clinical situations, knowing and suspecting its main causes and its atypical presentations becomes essential, mainly in cases of difficult diagnosis.OBJETIVOS: Expor um caso de abdome agudo por apendicite cujo diagnóstico apresentou-se difícil e complicado devido ao perfil do paciente e suas comorbidades. DESCRIÇÃO DO CASO: Paciente masculino, 52 anos, superobeso, tabagista e hepatopata crônico, com queixa de dor abdominal aguda em hipocôndrio direito, vômitos e baixa diurese. Inicialmente sem sinais de irritação peritoneal, foi manejado clinicamente, mas apresentou piora do quadro, evoluindo para choque e parada cardiorrespiratória. Em investigação por laparotomia exploradora constatou-se apendicite aguda, circulação colateral e cirrose hepática. CONCLUSÕES: O quadro de abdome agudo tem grande incidência nas unidades de pronto atendimento e, uma vez que compreende inúmeras situações clínicas, faz-se imprescindível conhecer e suspeitar de suas principais causas e de suas apresentações atípicas, de difícil diagnóstico.Editora da PUCRS - ediPUCRS2014-05-10info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de caso raro ou de especial interesseapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.1633910.15448/1980-6108.2014.1.16339Scientia Medica; Vol. 24 No. 1 (2014); 85-88Scientia Medica; v. 24 n. 1 (2014); 85-881980-61081806-556210.15448/1980-6108.2014.1reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.16339/11274Todescatto, Alexandra DamasioLaranjeira, Felipe FerreiraGasperi, Júlia DeLehmann, Davyd Emaanuel Fin deLacerda, Bruna Schmitt deWinckler, Diego CarraoBreigeiron, Ricardoinfo:eu-repo/semantics/openAccess2017-08-28T14:50:15Zoai:ojs.revistaseletronicas.pucrs.br:article/16339Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2017-08-28T14:50:15Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
Abdome agudo por apendicite com apresentação atípica levando a choque em paciente obeso e hepatopata crônico
title Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
spellingShingle Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
Todescatto, Alexandra Damasio
ABDOMINAL PAIN
ACUTE ABDOMEN
APPENDICITIS
SCHOCK
SEPTIC.
DOR ABDOMINAL
ABDÔMEN AGUDO
APENDICITE
CHOQUE SÉPTICO.
Todescatto, Alexandra Damasio
ABDOMINAL PAIN
ACUTE ABDOMEN
APPENDICITIS
SCHOCK
SEPTIC.
DOR ABDOMINAL
ABDÔMEN AGUDO
APENDICITE
CHOQUE SÉPTICO.
title_short Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
title_full Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
title_fullStr Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
title_full_unstemmed Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
title_sort Acute abdomen due appendicitis with atypical presentation leading to shock in an obese patient and with chronic liver disease
author Todescatto, Alexandra Damasio
author_facet Todescatto, Alexandra Damasio
Todescatto, Alexandra Damasio
Laranjeira, Felipe Ferreira
Gasperi, Júlia De
Lehmann, Davyd Emaanuel Fin de
Lacerda, Bruna Schmitt de
Winckler, Diego Carrao
Breigeiron, Ricardo
Laranjeira, Felipe Ferreira
Gasperi, Júlia De
Lehmann, Davyd Emaanuel Fin de
Lacerda, Bruna Schmitt de
Winckler, Diego Carrao
Breigeiron, Ricardo
author_role author
author2 Laranjeira, Felipe Ferreira
Gasperi, Júlia De
Lehmann, Davyd Emaanuel Fin de
Lacerda, Bruna Schmitt de
Winckler, Diego Carrao
Breigeiron, Ricardo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Todescatto, Alexandra Damasio
Laranjeira, Felipe Ferreira
Gasperi, Júlia De
Lehmann, Davyd Emaanuel Fin de
Lacerda, Bruna Schmitt de
Winckler, Diego Carrao
Breigeiron, Ricardo
dc.subject.por.fl_str_mv ABDOMINAL PAIN
ACUTE ABDOMEN
APPENDICITIS
SCHOCK
SEPTIC.
DOR ABDOMINAL
ABDÔMEN AGUDO
APENDICITE
CHOQUE SÉPTICO.
topic ABDOMINAL PAIN
ACUTE ABDOMEN
APPENDICITIS
SCHOCK
SEPTIC.
DOR ABDOMINAL
ABDÔMEN AGUDO
APENDICITE
CHOQUE SÉPTICO.
description AIMS: To expose a case of acute abdomen due to appendicitis whose diagnosis was difficult and complicated because of the patient's profile and his comorbidities. CASE DESCRIPTION: Male patient, 52 years old, superobese, smoker and with chronic liver disease, complaining of acute abdominal pain in the right hypochondrium, vomiting and low diuresis. Initially with no signs of peritoneal irritation, the patient was medically managed, but presented worsening of clinical status, progressing to shock and cardiac arrest. The investigation by laparotomy found acute appendicitis, collateral circulation and liver cirrhosis. CONCLUSIONS: Acute abdomen has great impact on emergency care and, since it comprises several clinical situations, knowing and suspecting its main causes and its atypical presentations becomes essential, mainly in cases of difficult diagnosis.
publishDate 2014
dc.date.none.fl_str_mv 2014-05-10
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Relato de caso raro ou de especial interesse
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.16339
10.15448/1980-6108.2014.1.16339
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.16339
identifier_str_mv 10.15448/1980-6108.2014.1.16339
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/1980-6108.2014.1.16339/11274
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 24 No. 1 (2014); 85-88
Scientia Medica; v. 24 n. 1 (2014); 85-88
1980-6108
1806-5562
10.15448/1980-6108.2014.1
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
_version_ 1822181830151897088
dc.identifier.doi.none.fl_str_mv 10.15448/1980-6108.2014.1.16339

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