Prevalencia de apendicitis aguda con síntomas atípicos en pacientes hospitalizados en el servicio de cirugía en el Hospital Naval de Guayaquil en el período enero 2016- enero 2017.

Abstract

Introduction: Acute appendicitis is a disease whose importance lies in the frequency of its presentation, which affects all age groups and despite being widely studied, its diagnostic failure can cause serious Consequences in terms of morbidity and mortality. The atypical presentation can delay the diagnosis and increase complication rates. Materials and Methods: A prevalence, observational, analytical, retrospective study was carried out in which all patients who met the inclusion and exclusion criteria during the period January 2016 - January 2017 attended at the surgery service in the Naval Hospital of Guayaquil were included. Results: Of 416 patients with acute appendicitis, 48 patients (11.5%) presented atypical symptoms. In the analysis of odds ratio of variables considered as risk factors for the presentation of acute appendicitis with atypical symptoms. Age greater than or equal to 65 years of age, the use of antibiotics, the use of analgesics and the extracecal location of the appendix are all associated with the presentation of atypical appendicitis (p <0.01). Conclusions: The prevalence of atypical appendicitis was lower than that reported in other series, however a representative percentage. Advanced age, the use of antibiotics and analgesia and the anomalous location of the appendix are risk factors for the unusual clinical presentation. Keywords: atypical appendicitis, prevalence, complications.