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Revista Científica Ciencia Médica

Print version ISSN 2077-3323


CAMPOS RAMOS, Román Neptali et al. Refractory shock in a patient with complicated appendicitis in the Intensive Care Unit: A Case report. Rev Cient Cienc Méd [online]. 2018, vol.21, n.1, pp.102-106. ISSN 2077-3323.

Acute appendicitis continues to be the most frequent surgical condition in the emergency services. It's reported the case of a 27 year-old male, with no relevant history, with 3 days of colic abdominal pain, Analog Visual Scale 8/10, fever, diarrhea, vomiting, and self-medication with oral analgesics. He is referred from a private center to the Lambayeque Hospital (Peru), due to hypotension. Admitted by septic shock, kidney damage, disseminated intravascular coagulation. Evaluated multiple times by surgery, performing exploratory laparotomy and appendectomy. Carried to the ICU in its postoperative period due to multiple organ failure, distributive septic shock refractory to abdominal focus, respiratory distress syndrome, respiratory alkalosis with metabolic acidosis, fulfilled antibiotic therapy, dialytic support, nutritional, double vasopressor support and connected to mechanical ventilation. While refractory septic shock is a very unusual condition due to complicated acute appendicitis requires strict monitoring to avoid complications that aggravate even more the clinical presentation.

Keywords : Septic shock; appenditicis; múltiple organ failure; critical care.

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