Prevalencia de hemoperitoneo secundario a hipertensión portal en pacientes con cirrosis hepática del servicio de Gastroenterología del Hospital de Especialidades Teodoro Maldonado Carbo periodo del 1 de mayo del 2019 al 30 de abril del 2020.

Abstract

The complications that liver cirrhosis entails, as it is a chronic disease that leads the patient to death, is of great importance, among them portal hypertension stands out and secondary hemoperitoneum with a lower incidence rate. The study was carried out with the objective of determining the prevalence of hemoperitoneum secondary to portal hypertension in patients with liver cirrhosis at the Teodoro Maldonado Carbo Specialties Hospital in the period from May 1, 2019 to April 30, 2020. The sample consisted of 233 patients and data were collected by reviewing clinical records and laboratory databases in the ICD 10 - K70.3 computer system of the Teodoro Maldonado Carbo Specialty Hospital. The results show a prevalence of hemoperitoneum secondary to portal hypertension of 63.1% in patients with liver cirrhosis, framed in ages older than 40 years, male, from Guayas and diagnosed mostly by abdominal ultrasound. Alcohol and cystic fibrosis were the risk factors associated with portal hypertension in patients with liver cirrhosis. The main complications associated with portal hypertension that occur in patients with cirrhosis were hepatorenal syndrome, bacterial peritonitis, and secondary hemoperitoneum. It is concluded that the hypothesis raised is fulfilled, given that the early treatment of patients with liver cirrhosis associated with portal hypertension with complications of spontaneous hemoperitoneum, allowed the morbidity and mortality rate not to maintain an accelerated growth.