Abdomén agudo: beneficios de los estudios imagenológicos como método diagnóstico
Fecha
2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El abdomen agudo es un síndrome intraabdominal complejo, y una de las principales causas de ingreso a urgencias. Por este motivo interesa realizar un diagnóstico etiológico temprano apoyado en pruebas imagenológicas complementarias. En este estudio de diseño transversal y de nivel descriptivo se revisaron 75 historias clínicas de pacientes de 18 a 65 años de edad con diagnóstico de abdomen agudo en el Hospital General Dr. Liborio Panchana Sotomayor durante el año 2019 y 2020. La tomografía computarizada, ecografía y radiografía de abdomen reportaron hallazgos sugerentes al diagnóstico presuntivo en el 92.31%, 81.25% y 100% de ellas respectivamente. Hubo cambios en el diagnóstico posoperatorio en el 64% de los pacientes con estudios de imagen preoperatorios, y en estos pacientes los hallazgos quirúrgicos e imagenológicos fueron compatibles al 100%. Los estudios de imagen indicados en la correcta sospecha clínica confirman la impresión diagnostica en cada presentación de dolor abdominal agudo
Acute abdomen is a complex intra-abdominal syndrome, and one of the main causes of admission to the emergency department. For this reason, an early etiologic diagnosis supported by complementary imaging tests is of interest. In this descriptive cross-sectional study, 75 medical records of patients aged 18 to 65 years with a diagnosis of acute abdomen were reviewed at the General Hospital Dr. Liborio Panchana Sotomayor during 2019 and 2020. Computed tomography, ultrasound and abdominal radiography reported findings suggestive to the presumptive diagnosis in 92.31%, 81.25% and 100% of them respectively. There were changes in the postoperative diagnosis in 64% of the patients with preoperative imaging studies, and in these patients the surgical and imaging findings were 100% compatible. The imaging studies indicated in the correct clinical suspicion confirm the diagnostic impression in each presentation of acute abdominal pain
Acute abdomen is a complex intra-abdominal syndrome, and one of the main causes of admission to the emergency department. For this reason, an early etiologic diagnosis supported by complementary imaging tests is of interest. In this descriptive cross-sectional study, 75 medical records of patients aged 18 to 65 years with a diagnosis of acute abdomen were reviewed at the General Hospital Dr. Liborio Panchana Sotomayor during 2019 and 2020. Computed tomography, ultrasound and abdominal radiography reported findings suggestive to the presumptive diagnosis in 92.31%, 81.25% and 100% of them respectively. There were changes in the postoperative diagnosis in 64% of the patients with preoperative imaging studies, and in these patients the surgical and imaging findings were 100% compatible. The imaging studies indicated in the correct clinical suspicion confirm the diagnostic impression in each presentation of acute abdominal pain
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Abdomén agudo, Procedimientos quirúrgicos operativos, Historias clínicas, Tomografía computarizada por rayos X, Hospital General Dr. Liborio Panchana Sotomayor, Cantón Santa Elena, Ecuador