High urgency
-Moderately severe
It is the rupture of the wall of the intestine that goes from the ileocecal valve of the small intestine to the mouth of the anus.
The most frequent causes are inflammation of diverticula (diverticulitis), inflammatory bowel disease (ulcerative colitis, Crohn's disease) and endoscopic diagnostic procedures.
It manifests with severe abdominal pain, nausea, vomiting, fever and blood in the stool.
Diagnosis is clinical by interrogation and physical examination. It is confirmed by imaging tests: simple abdominal X-ray, computed tomography).
Treatment is usually based on maintenance of vital signs, early initiation of antibiotics and surgery.
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- Akbulut S, Cakabay B, Ozmen CA, et al. An unusual cause of ileal perforation: report of a case and literature review. World J Gastroenterol 2009; 15:2672.
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- María García Ávila, Ángel Blanco Bravo. Perforación de víscera hueca. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 495:498
Dr. Elvira Moreno
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