Manejo y enfoque inicial del dolor abdominal en un paciente inmunosuprimido

in this article we described the case of a patient with acute abdomen and previous history of idi-opathic thrombocytopenic purple, liver transplant and immunosuppressor treatment. because of the doubt in the diagnosis, an exploratory laparoscopic was done and an acute appendicitis was found. we presented the initial surgical approach of abdominal pathology in patients with autoimmune disease and immunosuppressor treatment and also explain the advantages of the minimum invasion compared with conventional procedure.