Ulcera péptica perforada como diagnostico diferencial en abdomen agudo

Abstract

Introduction: Peptic ulcer continues to be a pathology of worldwide incidence, which has experienced a decrease in its incidence, due to the use of proton pump inhibitors and antibiotics for the eradication of Helicobacter pylori infection, despite this, the complications of peptic ulcer persist, among the most common we find perforation. Thus, the objective of the research is to determine the clinical characteristics of perforated peptic ulcer for differential diagnosis in acute abdomen. Methodology: Study carried out in a retrospective descriptive manner through a bibliographic review in the scientific bases of PUBMED, SCIENCE DIRECT, SCIELO, MESH; in relation to perforated peptic ulcer, acute abdomen. Results: Scientific articles were found, of which: 5 articles correspond to quartile 1, 4 articles quartile 2 and 8 articles quartile 3. Conclusions: Perforated peptic ulcer is a surgical emergency associated with high rates of morbidity and mortality; Its clinical characteristics allow us to establish acute abdomen as a syndromic diagnosis, which leads to a wide range of differential diagnoses. Being important the physical examination of the patient and complementary studies such as Computed Tomography. Similarly, the resuscitation of the patient allows to obtain better results at the time of surgery, which will depend on age, the evolution of the symptoms and the experience of the team.