Clinical profile of acute abdomen cases at a tertiary care hospital
DOI:
https://doi.org/10.18203/2349-2902.isj20151541Keywords:
Acute abdomen, Pain abdomen, Surgical interventionAbstract
Background: Abdominal pain is a common presentation in the outpatient setting and is challenging to diagnose. Abdominal pain is the presenting complaint in 1.5 percent of office-based visits1 and in 5 percent of emergency department visits.
Methods: All patients with who present with acute abdomen including blunt trauma to abdomen and post-operative cases are included for study and those who give consent for study. A total of 50 cases were studied during the period.
Results: Out of 50 cases 37 were due to non-traumatic abdominal pathology and 13 cases were caused by traumatic factor.
Conclusions: Abdominal pain is a common presenting complaint in the Emergency Department and clinicians must consider multiple diagnoses, especially in those cases that require immediate intervention in order to limit morbidity and mortality.
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References
Townsend CM. Sabiston Textbook of Surgery: The biological basis of modern surgical practice 16th Ed. Singapore: Harcourt Asia PTE Ltd., W. B. Saunders Co., 2001.
Woodwell DA, Cherry DK. National Ambulatory Medical Care Survey: 2002 summar. Adv Data. 2004;346:1-44.
Kamin RA, Nowicki TA, Courtney DS, Powers RD. Pearls and Pitfalls in the Emergency Department Evaluation of Abdominal Pain. Emerg Med Clin North Am. 2003;21:61-72.
Agboola JO, Olatoke SA, Rahman GA. Pattern and Presentation of Acute Abdomen in a Nigerian Teaching Hospital. Niger Med J. 2014;55:266-70.
Saleh MA, Troy S, Etienne T. What Clinical and Laboratory Parameters Determine Significant intra-abdominal Pathology for Patients Assessed in Hospital with Acute Abdominal Pain? World J Emerg Surg. 2007;2:26.
Muhammad TA, Asma H, Waqar SH, Shah SF, Zafar IM, Zahid MA. Presentation and Outcome of Acute Abdomen in a Tertiary Care Unit. Ann Pak Inst Med Sci. 2011;7:137-44.
Ohene-Yeboah M. Acute surgical admissions for abdominal pain in adults in Kumasi, Ghana. ANZ J Surg. 2006;76:898-903.
Caterino S, Cavallini M, Meli C, Murante G, Schiffino L, Lotito S, et al. Acute abdominal pain in emergency surgery. Clinical epidemiologic study of 450 patients. Ann Ital Chir. 1997;68:807-17.
Irvin TT. Abdominal Pain: A Surgical Audit of 1190 emergency admissions. Br J Surg. 1989;76:1121-5.