Plastrón Apendicular con Resolución Quirúrgica

Abstract

The acute appendicitis is defined as the acute inflammation of the vermiform appendix. The etiopathogenesis is due to the obstruction of the appendiceal light followed by infection, this process generates ischemia, necrosis and later drilling. Acute appendicitis is the most common abdominal urgency in the world. The risk of presenting acute appendicitis along the life is estimated at approximately 7 per cent. Its incidence is 11 cases per 10,000 per year. A complication of the drilling is the formation of appendicular plastron which is a form of presentation of appendicitis not resolved. This is an inflammatory mass due to the appendicular drilling, in which you can participate both small bowel, omentum as well as other organs. The appendicular plastron is a rare presentation of appendicitis and its treatment continues to be controversial some authors prefer an early intervention while on the other hand others advocate an initial conservative treatment for subsequently perform the appendectomy so deferred. The present clinical case is a patient of 44 years that he presented a picture of acute appendicitis that later evolved to appendicular plastron. The relevant case analysis aims to recognize the adequate management of this pathology and generate updated knowledge in relation to the diagnosis and timely treatment of the pathology in study and in this way decrease the secondary complications that arise from improper handling.