Diana I. Garay-Mendoza, Servicio de Pediatría, Hospital General de Zona No.197, Texcoco, Estado de México, México
Norma Montes De Oca-García, Hospital General de Zona No.197, Texcoco, Estado de México, México
Erandy Montes de Oca-García, Servicio de Urgencias, Hospital General de Zona No.197, Texcoco, Estado de México, México
Randy R. Álvarez-Rangel, Curso de Especialización en Medicina de Urgencias. Hospital General de Zona No.197, Texcoco, Estado de México, México
The diagnostic approach to acute abdominal pain in pediatric age is complex given the multipathologies that are involved as secondary difficulties during physical examination in this age. We present the case of a 13-year-old male patient who came for evaluation at our hospital due to abdominal pain with initial analgesic, antispasmodic and antibiotic management that evolved with appendicitis and complicated phase IV appendectomy, subsequent readmission with persistent abdominal pain with report of appendix pathology with mycobacteria.
Keywords: Acute appendicitis. Tuberculous appendicitis. Abdominal pain. Surgical acute abdomen.