Utilidad de la Proteína C Reactiva en Apendicitis aguda

Authors

  • Pablo Avila C Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Ramiro Caballero Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Carlos Jauregui L Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Luis Gutiérrez C Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Jorge Rojas C Hospital Clínico Universidad de Chile. Departamento de Cirugía.
  • Eduardo Tapia S Universidad de Chile
  • Martín Nicola S Universidad de Chile
  • Evelyn Sanchez I Universidad de Chile
  • Laura Carreño T Hospital Clínico Universidad de Chile. Instituto de Anatomía Patológica.
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Abstract

Aim: The principal objective in this paper is the evaluation of the C -Reactive Protein test {CRPJ role as an ínflammation mark in the díagnostíc process of a c ute appendícítís and the relatíon wíth hístopathologic studíes of some patíents operated for a probable acute appendícítís. Material and Method: Thírty síx patients were consecutively operated for probable acute appendicitis. Before surgery, a CRP test was token. Every bíopsy were studíed in Anatomy and Pathologíc lnstítute, Hospital Clínico Uníversity of Chile, and faced with CRP test values. Results: In thírty three patients an acute appendícítis was confírmed and three bíopsíes were consídered normal. CRP test was above normal values in thírty one patíents and fíve had values below 5 mg/dl. Analysis of hístophatological and CRP test results show that 87, 8% of patients with appendicitis had a CRP test value above normal range and cases with a high CRP test value 93, 5% had acute appendícitis. Conclusíons: CRP is a good test in order to help acute app endícítis diagnostíc processes when the clínical approach is not specifíc . This test has hígh predictive positíve value (93, 5%] with acute appendicitís when other ínflammatory processes are not present.

Keywords:

Proteína C-Reactiva/administración & dosificación, Proteína C-Reactiva/farmacocinética, Apendicitis/diagnóstico, Apendicitis/terapia, Apendicectomía