Резюме
Определение
A apendicite aguda é uma inflamação aguda do apêndice vermiforme, muito provavelmente decorrente de obstrução do lúmen do apêndice (por fecálito, fezes normais, agentes infecciosos ou hiperplasia linfoide).[1][2][Figure caption and citation for the preceding image starts]: Apendicite aguda - espécime intraoperatórioNasim Ahmed, MBBS, FACS; usado com permissão [Citation ends].
Анамнез и осмотр
Ключевые диагностические факторы
- dor abdominal
- anorexia
- náuseas e vômitos
- sensibilidade no quadrante inferior direito
- abdome tenso e rígido
- hipotensão e taquicardia
- massa palpável
Другие диагностические факторы
- idade de ocorrência
- febre
- rosto corado e halitose
- diminuição dos ruídos hidroaéreos
- taquicardia
- evacuação diarreica
- constipação
- sinal de Rovsing
- sinal do psoas
- sinal do obturador
Факторы риска
- diferenças no microbioma apendicular
- tabagismo
Диагностические исследования
Исследования, которые показаны в первую очередь
- Hemograma completo
- proteína C-reativa
- tomografia computadorizada (TC) abdominal e pélvica
Исследования, проведение которых нужно рассмотреть
- ultrassonografia abdominal
- urinálise
- teste de urina para detecção de gravidez
- RNM abdominal e pélvica na gestação
Неотложные исследования
- proporção neutrófilos/linfócitos
- sódio sérico
- pentraxina-3
- amiloide A sérica
- índices plaquetários
Алгоритм лечения
apendicite aguda não complicada
debilitado, com perfuração ou abscesso
Составители
Авторы
Peter Szasz, MD, PhD, FRCSC
Assistant Professor
Department of Surgery
Queen's University
Kingston
Ontario
Canada
Раскрытие информации
PS declares that he has no competing interests.
Выражение благодарностей
Dr Peter Szasz would like to gratefully acknowledge Professor Ali Tavakkoli, Professor Dileep N. Lobo and Dr Nasim Ahmed, previous contributors to this topic.
Раскрытие информации
AT is a consultant for Medtronic. DNL is the author of an article cited in the topic. NA declares that he has no competing interests.
Рецензенты
John M. Davis, MD
General Surgery
Jersey Shore Medical Center
Neptune
NJ
Раскрытие информации
JMD declares that he has no competing interests.
Elisabeth Adderson, MD
Associate Member
St. Jude Children's Research Hospital
Associate Professor of Paediatrics
University of Tennessee Health Sciences Center
Memphis
TN
Раскрытие информации
EA declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Di Saverio S, Podda M, De Simone B, et al. Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World J Emerg Surg. 2020 Apr 15;15(1):27.Полный текст Аннотация
American College of Radiology. ACR appropriateness criteria: right lower quadrant pain - suspected appendicitis. 2022 [internet publication].Полный текст
Sartelli M, Chichom-Mefire A, Labricciosa FM, et al. The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg. 2017 Jul 10;12:29.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Adenite mesentérica aguda
- Gastroenterite viral
- Diverticulite de Meckel
Больше ОтличияGuidelines
- IDSA 2024 guideline update on the risk assessment, diagnostic imaging, and microbiological evaluation of complicated intra-abdominal infections in adults, children, and pregnant people
- Acute abdominal pain
Больше GuidelinesPatient information
Apendicite
More Patient informationCalculators
Sistema de escore APACHE II
More CalculatorsVideos
Venopunção e flebotomia - Vídeo de demonstração
Técnicas práticas para sutura - Vídeo de demonstração
More videos
Log in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer