title: Acute abdomen after abdominoplasty: differential diagnosis.
abstract: Abdominoplasty is a very common elective procedure in plastic surgery. Surgical accidents can lead to serious complications that result in an acute surgical abdomen, but in rare cases, an acute surgical abdomen not related to the procedure develops. This report discusses the diagnostic approach for patients with an acute abdomen after abdominoplasty and presents a case of appendicitis in the immediate postoperative period. The importance of postoperative follow-up evaluation by the same surgeon who performed the procedure is discussed as well as the need for adequate general surgery training to obtain the correct diagnosis and perform the urgent operation required to avoid a detrimental outcome.
  
  
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authors.affiliation: Section of Plastic and Reconstructive Surgery, Hospital de Clinicas da UFPR, Curitiba, Brasil, dr.renato.freitas@gmail.com.
authors.forename: Renato Silva
authors.initials: RS
authors.lastname: da Freitas
authors.forename: Adriana Sayuri Kurogi
authors.initials: AS
authors.lastname: Ascenço
authors.forename: Ivan
authors.initials: I
authors.lastname: Maluf Junior
authors.forename: Isis
authors.initials: I
authors.lastname: Nasser
authors.forename: Priscila
authors.initials: P
authors.lastname: Balbinot
authors.forename: Marlon Augusto Camara
authors.initials: MA
authors.lastname: Lopes
authors.forename: Antonio Jorge
authors.initials: AJ
authors.lastname: Forte
authors.forename: Jose Alfredo
authors.initials: JA
authors.lastname: Sadowski
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D061645:Abdominoplasty / Q000009:adverse effects / Q000379:methods*; D000328:Adult; D001062:Appendectomy / Q000379:methods; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D015992:Body Mass Index; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D018570:Risk Assessment; D016896:Treatment Outcome