{"id":37259,"date":"2025-08-23T10:00:23","date_gmt":"2025-08-23T13:00:23","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=37259"},"modified":"2025-08-22T10:49:40","modified_gmt":"2025-08-22T13:49:40","slug":"abdome-agudo-perfurativo-o-que-e-diferenciacao-e-etiologia","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/abdome-agudo-perfurativo-o-que-e-diferenciacao-e-etiologia\/","title":{"rendered":"Abdome Agudo Perfurativo: o que \u00e9, diferencia\u00e7\u00e3o e etiologia"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/abdome-agudo-perfurativo-o-que-e-diferenciacao-e-etiologia\/#O_que_diferencia_dos_outros_tipos\" >O que diferencia dos outros tipos?\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/abdome-agudo-perfurativo-o-que-e-diferenciacao-e-etiologia\/#Etiologias_e_Manejo_Especifico\" >Etiologias e Manejo Espec\u00edfico<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/abdome-agudo-perfurativo-o-que-e-diferenciacao-e-etiologia\/#Esofago\" >Es\u00f4fago<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/abdome-agudo-perfurativo-o-que-e-diferenciacao-e-etiologia\/#Estomago_e_Duodeno\" >Est\u00f4mago e Duodeno<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/abdome-agudo-perfurativo-o-que-e-diferenciacao-e-etiologia\/#Intestino_Delgado_Colon_e_Reto\" >Intestino Delgado, C\u00f3lon e Reto<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/abdome-agudo-perfurativo-o-que-e-diferenciacao-e-etiologia\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-1024x576.jpg\" alt=\"\" class=\"wp-image-37264\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-22T104601.208.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Existem <strong>diferentes tipos de abdome agudo<\/strong>, por isso entender bem cada um \u00e9 fundamental no <strong>tratamento do paciente!<\/strong> Por isso, vamos explorar o que caracteriza o <strong>Abdome Agudo Perfurativo<\/strong> para, ent\u00e3o, avaliar o melhor manejo cl\u00ednico!\u00a0\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-diferencia-dos-outros-tipos\"><span class=\"ez-toc-section\" id=\"O_que_diferencia_dos_outros_tipos\"><\/span><strong>O que diferencia dos outros tipos?\u00a0<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O Abdome Agudo Perfurativo \u00e9 uma s\u00edndrome caracterizada pela <strong>perfura\u00e7\u00e3o de uma v\u00edscera oca<\/strong>, o que leva \u00e0 <strong>libera\u00e7\u00e3o de conte\u00fado na cavidade abdominal<\/strong>. Este evento desencadeia uma s\u00e9rie de complica\u00e7\u00f5es graves: <strong>pneumoperit\u00f4nio<\/strong> (presen\u00e7a de ar na cavidade peritoneal), <strong>inflama\u00e7\u00e3o, infec\u00e7\u00e3o, peritonite, sepse<\/strong> e, em casos graves, pode levar \u00e0 <strong>morte<\/strong>.<\/p>\n\n\n\n<p><strong><a href=\"https:\/\/www.grupomedcof.com.br\/blog\/guia-geral-sobre-abdome-agudo\/\" target=\"_blank\" rel=\"noreferrer noopener\">Confira o guia geral sobre o Abdome Agudo<\/a><\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-etiologias-e-manejo-especifico\"><span class=\"ez-toc-section\" id=\"Etiologias_e_Manejo_Especifico\"><\/span><strong>Etiologias e Manejo Espec\u00edfico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>As principais causas de perfura\u00e7\u00e3o de v\u00edsceras ocas variam de acordo com a localiza\u00e7\u00e3o anat\u00f4mica, e o tratamento deve ser individualizado:<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"597\" height=\"1024\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-12-597x1024.jpeg\" alt=\"Ilustra\u00e7\u00e3o colorida do sistema digest\u00f3rio humano, destacando o es\u00f4fago, est\u00f4mago e al\u00e7as intestinais.\" class=\"wp-image-37265\" style=\"width:264px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-12-597x1024.jpeg 597w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-12-175x300.jpeg 175w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-12-245x420.jpeg 245w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-12-150x257.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-12-300x514.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-12-696x1193.jpeg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-12.jpeg 731w\" sizes=\"auto, (max-width: 597px) 100vw, 597px\" \/><figcaption class=\"wp-element-caption\">Ilustra\u00e7\u00e3o da localiza\u00e7\u00e3o de perfura\u00e7\u00e3o esof\u00e1gica. | Fonte: Acervo de Ilustra\u00e7\u00f5es do Grupo MedCof.\u00a0<\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h3 class=\"wp-block-heading\" id=\"h-esofago\"><span class=\"ez-toc-section\" id=\"Esofago\"><\/span><strong>Es\u00f4fago<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A perfura\u00e7\u00e3o esof\u00e1gica \u00e9 mais comumente de origem <strong>iatrog\u00eanica<\/strong>, ocorrendo ap\u00f3s uma endoscopia. Outras causas incluem <strong>trauma, ingest\u00e3o de corpo estranho, tumores ou v\u00f4mitos incoerc\u00edveis. <\/strong>O tratamento inicial consiste em <strong>analgesia, hidrata\u00e7\u00e3o, antibioticoterapia e suporte,<\/strong> sendo a <strong>cirurgia<\/strong> o passo definitivo. A perfura\u00e7\u00e3o do es\u00f4fago abdominal \u00e9 rara, mas o tratamento segue o mesmo princ\u00edpio cir\u00fargico.<\/p>\n<\/div>\n<\/div>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-sindrome-de-boerhaave\"><strong>S\u00edndrome de Boerhaave<\/strong><\/h4>\n\n\n\n<p>Essa \u00e9 uma perfura\u00e7\u00e3o esof\u00e1gica que <strong>ocorre ap\u00f3s v\u00f4mitos incoerc\u00edveis ou esfor\u00e7o extenuante.<\/strong> \u00c9 mais comum na <strong>parte distal e na regi\u00e3o p\u00f3stero-lateral esquerda do es\u00f4fago. <\/strong>A mortalidade \u00e9 alta, podendo chegar a 40%, devido \u00e0 dificuldade no diagn\u00f3stico. O quadro cl\u00ednico cl\u00e1ssico \u00e9 a <strong>tr\u00edade de Mackler<\/strong>, composta por <strong>enfisema de subcut\u00e2neo, derrame pleural e pneumomediastino.<\/strong> O diagn\u00f3stico \u00e9 sugerido pela hist\u00f3ria cl\u00ednica e exame f\u00edsico, sendo confirmado por exames de imagem.\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXf8rT03xO1V0XqvTzOg_qJpjsOUVaDyDZdXeGxoZy_cdZ7hQbqDXXtWizGJ3VnzXEZPUKu4jiR_5cdrD5GqBmaAd4eE2HJ9sWdJX37DN42avSUJyPqGm8RzKi-9lQq1L1pexs20zQ?key=p16vQxsY4TAySQIETMtGBg\" alt=\"\" style=\"width:565px;height:auto\"\/><figcaption class=\"wp-element-caption\">Fonte: <a href=\"https:\/\/doi.org\/10.1590\/S0100-69912012000100017\">https:\/\/doi.org\/10.1590\/S0100-69912012000100017<\/a><\/figcaption><\/figure>\n\n\n\n<p>O tratamento depende do tempo de diagn\u00f3stico. Em um caso precoce, \u00e9 indicado <strong>reparo prim\u00e1rio e drenagem<\/strong>, para os tardios, podemos realizar a <strong>esofagostomia e gastrostomia<\/strong>. Quando falamos da abordagem cir\u00fargica, podemos realizar a <strong>videotoracoscopia ou toracotomia<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-estomago-e-duodeno\"><span class=\"ez-toc-section\" id=\"Estomago_e_Duodeno\"><\/span><strong>Est\u00f4mago e Duodeno<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>A causa mais comum de perfura\u00e7\u00e3o nesta regi\u00e3o \u00e9 a <strong>doen\u00e7a ulcerosa p\u00e9ptica perfurada<\/strong>. A maioria (90%) delas \u00e9 causada pela bact\u00e9ria <strong>H. pylori<\/strong>. O restante (10%) pode ser atribu\u00eddo a <strong>AINEs, corticoides, s\u00edndrome de Zollinger-Ellison ou tumores g\u00e1stricos<\/strong>. As \u00falceras duodenais de parede anterior s\u00e3o as que mais frequentemente perfuram, enquanto as \u00falceras de parede posterior tendem a causar sangramento.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>A apresenta\u00e7\u00e3o cl\u00ednica inclui <strong>dor abdominal aguda e intensa, peritonite, posi\u00e7\u00e3o ant\u00e1lgica e abdome &#8220;em t\u00e1bua&#8221;, que pode evoluir para sepse<\/strong>. O <strong>sinal de Jobert<\/strong> (perda da macicez hep\u00e1tica e punho percuss\u00e3o na loja hep\u00e1tica) \u00e9 um achado cl\u00ednico relevante.<\/p>\n<\/div>\n<\/div>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXefseQF1AQAsAB_DugZ3yw210zLtubyDWpi-4COM4njVwr1vkrOb_qKolxBDpfKg3X3ZtTfqRN-Zcpkrmmo-Wv2_R0P_YLMOF-zpCMAtL4CiaGz89l4t1tFLvV3v6suc61DwyEk-g?key=p16vQxsY4TAySQIETMtGBg\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Sinal de Chilaiditi,\u00a0indicando al\u00e7a intestinal localizada na loja hep\u00e1tica. | Fonte: <a href=\"https:\/\/doi.org\/10.1590\/S0100-39842011000500014\">https:\/\/doi.org\/10.1590\/S0100-39842011000500014<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p>O diagn\u00f3stico \u00e9 confirmado pela presen\u00e7a de <strong>pneumoperit\u00f4nio<\/strong> em exames de imagem. \u00c9 crucial distinguir esta condi\u00e7\u00e3o do <strong>sinal de Chilaiditi,<\/strong> onde uma al\u00e7a de intestino se interp\u00f5e entre o f\u00edgado e o diafragma, podendo <strong>simular ar livre,<\/strong> mas sem as manifesta\u00e7\u00f5es cl\u00ednicas da perfura\u00e7\u00e3o. Outros sinais radiol\u00f3gicos de perfura\u00e7\u00e3o incluem o <strong>sinal do ligamento falciforme e o sinal de Rigler<\/strong> (ar delineando as al\u00e7as intestinais).<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"875\" height=\"1024\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13-875x1024.jpeg\" alt=\"Radiografia abdominal mostrando o sinal de Rigler, com presen\u00e7a de ar delineando as al\u00e7as intestinais.\" class=\"wp-image-37266\" style=\"width:319px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13-875x1024.jpeg 875w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13-256x300.jpeg 256w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13-768x899.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13-359x420.jpeg 359w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13-150x176.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13-300x351.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13-696x815.jpeg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-13.jpeg 1045w\" sizes=\"auto, (max-width: 875px) 100vw, 875px\" \/><figcaption class=\"wp-element-caption\">Sinal de Rigler, com ar delineando as al\u00e7as intestinais. | Fonte: Acervo de Aulas do Grupo MedCof.<\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p>A interven\u00e7\u00e3o cir\u00fargica \u00e9 uma <strong>urg\u00eancia<\/strong>. Pode ser realizada por <strong>laparotomia<\/strong> ou <strong>laparoscopia<\/strong>, desde que o paciente tenha condi\u00e7\u00f5es cl\u00ednicas. A t\u00e9cnica mais comum envolve a <strong>sutura da \u00falcera e a coloca\u00e7\u00e3o de um patch de epiplon<\/strong> sobre o local da sutura, conhecido como <strong>Patch de Graham modificado<\/strong>. A <strong>gastrectomia<\/strong> \u00e9 uma exce\u00e7\u00e3o, indicada apenas para <strong>\u00falceras maiores que 2 cm ou complicadas<\/strong>. O manejo inicial inclui <strong>hidrata\u00e7\u00e3o, analgesia e antibioticoterapia<\/strong>. Nem sempre s\u00e3o necess\u00e1rios dreno ou sonda nasog\u00e1strica (SNG).<\/p>\n\n\n\n<p>Quando falamos do <strong>tratamento conservador<\/strong>, falamos em <strong>casos excepcionais<\/strong>, como em pacientes de alt\u00edssimo risco cir\u00fargico ou quando o organismo j\u00e1 bloqueou a \u00falcera. \u00c9 indicada para pacientes com pneumoperit\u00f4nio pequeno, sem l\u00edquido livre abdominal, e que apresentam melhora da dor e dos exames. A conduta nesses casos inclui <strong>SNG, hidrata\u00e7\u00e3o e antibi\u00f3ticos<\/strong>. Todos os pacientes com \u00falcera p\u00e9ptica recebem <strong>omeprazol<\/strong> em dose plena por pelo menos 4 semanas.<\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<h3 class=\"wp-block-heading\" id=\"h-intestino-delgado-colon-e-reto\"><span class=\"ez-toc-section\" id=\"Intestino_Delgado_Colon_e_Reto\"><\/span><strong>Intestino Delgado, C\u00f3lon e Reto<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>As perfura\u00e7\u00f5es nesses segmentos podem ter etiologias como <strong>infec\u00e7\u00f5es, DII, iatrogenias, neoplasias e divert\u00edculos<\/strong> (no c\u00f3lon). A perfura\u00e7\u00e3o retal pode ser causada por corpo <strong>estranho ou iatrogenia<\/strong>. Em todos esses casos, o <strong>tratamento \u00e9 cir\u00fargico<\/strong> e deve ser direcionado para a causa base da perfura\u00e7\u00e3o.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXdUNfkFDCyawaw7cyR-WKJdOvGWXwkwRJ9q5tNMt-cQw5i_iUBf3bb3wC-Vrw8Pk2-vS3a0O7LcmF0P0EVE8oVwT4-k70Ss9GtESdMA0UD2j3afpBB8qIX60CH4JsvytuFeLPeNlA?key=p16vQxsY4TAySQIETMtGBg\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Achado de divert\u00edculo. | Fonte: 10.31837\/cir.urug\/6.1.2\u00a0\u00a0<br><\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><strong><a href=\"https:\/\/www.grupomedcof.com.br\/blog\/abdome-agudo-hemorragico\/\" target=\"_blank\" rel=\"noreferrer noopener\">Abdome Agudo: explorando sua forma hemorr\u00e1gica<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"366\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-1024x366.png\" alt=\"\" class=\"wp-image-29290\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-1024x366.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-300x107.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-768x275.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-1536x549.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-2048x732.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-1174x420.png 1174w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-150x54.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-696x249.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-1068x382.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/08\/Capa-Eventos-MedCof-Plus-14-4-1920x687.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"o-m\u00e9todo-que-te-aprova\"><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span><strong>O m\u00e9todo que te aprova!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">MedCofer<\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">metodologia que j\u00e1 aprovou mais de 20 mil residentes no pa\u00eds!&nbsp;<\/a>Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"r2jD3BS_4Ak\"><iframe loading=\"lazy\" title=\"Abd\u00f3men agudo e abordagem sindromica - para sua vida e para as provas - Resum\u00e3o MedCof EP. 01\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/r2jD3BS_4Ak?start=2&#038;feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Entenda as difer\u00eancias entre os tipos de abdome agudo, os sinais, sintomas, tratamentos e mais! Veja tudo no Blog MedCof.<\/p>\n","protected":false},"author":21,"featured_media":37264,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[135],"tags":[1837,3023,3106],"ppma_author":[3617],"class_list":{"0":"post-37259","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cirurgia-geral","8":"tag-abdome-agudo","9":"tag-esofago","10":"tag-sindrome-de-boerhaave"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Abdome Agudo Perfurativo: o que \u00e9, diferencia\u00e7\u00e3o e etiologia - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"Entenda as difer\u00eancias entre os tipos de abdome agudo, os sinais, sintomas, tratamentos e mais! 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