[Acute abdomen and diabetic patients--difficulties of diagnosis and therapeutical decision].
We present a retrospective study based on 50 diabetic patients with acute abdominal diseases. Usually, clinical features were not typical, without defining signs of acute abdomen, despite frequent severe anatomo-pathological forms (6 of 12 acute appendicitis were gangrenous, with generalised or localised peritonitis; 15 of 22 acute colecystitis were gangrenous). In diabetic patients, with metabolic disorders and cetoacidosis, positive diagnosis and the decision of laparotomy are difficult problems, often delated, with a negative influence on the evolutions and prognosis of these patients.
Clinica de Chirurgie Prof. I. Juvara, Spitalul Clinic Dr. I. Cantacuzino.
H
H
Doran
T
T
Pătraşcu
E
E
Păcescu
I
I
Marin
C
C
Radu
D000006:Abdomen, Acute / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D000368:Aged; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D003196:Computer Graphics; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D012189:Retrospective Studies