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Apendicectomía para el dolor abdominal crónico causado por neuroma apendicular
Jordana Herblum1, Erin Kennedy2, Andrea Covelli2
1Department of Internal Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
ACG case reports journal
|February 23, 2026
Resumen
Un raro neuroma apendicular causó dolor recurrente en el cuadrante inferior derecho que simulaba apendicitis. La extirpación quirúrgica resolvió los síntomas, lo que resalta su importancia en el diagnóstico del dolor abdominal inexplicado.
Área de la Ciencia:
- Gastroenterología
- Patología Quirúrgica
Sus antecedentes:
- El dolor recurrente en el cuadrante inferior derecho (CID) puede simular apendicitis aguda.
- El síndrome de dolor abdominal funcional es un diagnóstico común para el dolor abdominal persistente después de estudios negativos.
- El neuroma apendicular es un tumor raro del apéndice.
Objetivo del estudio:
- Informar un caso de neuroma apendicular que se presenta como dolor recurrente en el CID.
- Enfatizar el desafío diagnóstico del neuroma apendicular en casos de sospecha de apendicitis.
- Destacar el papel terapéutico de la intervención quirúrgica en el dolor persistente e inexplicado del CID.
Principales métodos:
- Informe de caso de un hombre de 35 años con dolor persistente en el CID.
- Estudio diagnóstico que incluye imágenes y colonoscopia, que no fueron concluyentes.
- Laparoscopia diagnóstica y apendicectomía para síntomas persistentes.
Principales resultados:
- Diagnóstico inicial de síndrome de dolor abdominal funcional después de investigaciones negativas.
- El examen histopatológico reveló un neuroma apendicular.
- Resolución completa del dolor del CID después de la apendicectomía.
Conclusiones:
- El neuroma apendicular debe considerarse en el diagnóstico diferencial del dolor inexplicable en el CID, especialmente cuando se sospecha apendicitis pero las imágenes son negativas.
- La cirugía exploratoria puede ser beneficiosa para pacientes con dolor grave y persistente en el CID que no responde al tratamiento conservador.
- El diagnóstico y manejo quirúrgico tempranos del neuroma apendicular pueden conducir a la resolución completa de los síntomas.
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