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Apéndice atípico que se presenta como dolor en el cuadrante superior izquierdo: un informe de caso
Elisabeth Hildenbrandt1, Mark E Hoffman1, Mark Salib1
1School of Medicine, St. George's University School of Medicine, True Blue, GRD.
Cureus
|December 26, 2025
Resumen
La apendicitis aguda atípica puede causar desafíos diagnósticos. La TC temprana es crucial para diagnosticar esta afección, especialmente con variantes anatómicas, para prevenir retrasos en el tratamiento.
Área de la Ciencia:
- Gastroenterología
- Patología Quirúrgica
- Diagnóstico por Imagen
Sus antecedentes:
- La apendicitis aguda es una emergencia quirúrgica común.
- Las presentaciones atípicas pueden conducir a retrasos en el diagnóstico y complicaciones.
Objetivo del estudio:
- Informar un caso de apendicitis aguda con dolor atípico en el cuadrante superior izquierdo.
- Enfatizar la importancia de las imágenes transversales en el diagnóstico de presentaciones inusuales de apendicitis.
Principales métodos:
- Informe de caso de una mujer de 21 años con dolor abdominal atípico.
- Tomografía Computarizada (TC) de abdomen y pelvis.
- Apendicectomía laparoscópica.
Principales resultados:
- La TC reveló un apéndice alargado y retrocecal con un apendicolito.
- Se confirmó el diagnóstico de apendicitis aguda.
- Se realizó una apendicectomía laparoscópica exitosa sin complicaciones.
Conclusiones:
- La vigilancia clínica es esencial para el dolor abdominal con localización no tradicional.
- Las imágenes transversales tempranas ayudan al diagnóstico en casos de apendicitis atípica.
- El diagnóstico y la intervención rápidos reducen las tasas de complicaciones.
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