A prospective study of epidemiology and clinical presentation of non-traumatic acute abdomen cases in a tertiary care hospital of central India

Jain, Rajiv; Gupta, Vikas

doi:10.18203/2349-2902.isj20164449

Cited by 7 publications

(13 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[12][13][14][15][16] In a study done by Jain et al in India, the most common cause was perforative peritonitis (39.7%), followed by acute appendicitis (37.7%), and followed by intestinal obstruction (14.2%). 18 Similarly, in a study done by Ray et al, perforative peritonitis was the most common cause for surgical intervention in patients with acute abdominal pain. 19 In a study done on 299 patients by Hagos et al in Ethiopia (Africa), the most common cause for acute abdomen was Acute appendicitis 53.2% and Bowel obstruction 28.7% followed by perforative peritonitis 4.3%.…”

Section: Discussionmentioning

confidence: 88%

The non traumatic acute abdomen and its clinical spectrum

et al. 2019

View full text Add to dashboard Cite

Background: Acute abdomen poses a big challenge to the general surgeons in terms of both diagnosis and management. The aim of this study was to know in detail the clinical and postoperative outcome in non traumatic acute abdomen.Methods: Prospectively collected data of 326 patients with non traumatic acute abdomen admitted in PES institute of medical sciences and research, Kuppam from November 2016 to June 2018. All patients were subjected to clinical examination, relevant blood and imaging investigations, Intra and postoperative findings events were recorded.Results: Non traumatic acute abdominal pain was more common in 2nd to 5th decade of life. Males are more affected than females with a male to female ratio of 3.4:1. Acute appendicitis forms the commonest cause of acute abdomen (n=160=49%) followed by perforative peritonitis (n=85=26%). Most common surgical procedures done were laparoscopic/open appendectomy for acute appendicitis, exploratory laparotomy with Graham’s omentoplasty for perforative peritonitis.Conclusions: Systematic approach in history taking and a proper clinical examination with supportive imaging findings are most important in making an accurate diagnosis and need of appropriate surgical intervention in patients with non traumatic acute abdomen.

show abstract

Section: Discussionmentioning

confidence: 88%

The non traumatic acute abdomen and its clinical spectrum

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Jain and Gupta 15 in their study also reported abdominal tenderness (99%), guarding/rigidity (61.2%) and absence of bowel sounds (51%) as the major clinical evaluation findings. Clinical evaluation findings are generally indicative of several possible pathologies and require further exploration using biochemical or imaging tools.…”

Section: Discussionmentioning

confidence: 76%

“…However, in general, majority of the studies, except those that included only female patients had a skewed gender ratio showing a high prevalence of males as compared to females. 3,[11][12][13][14][15] In the present study, major presenting symptoms except abdominal pain were fever (46.7%), constipation (42.86%) and vomiting (40.66%) respectively. In a study from Nigeria, Agboola et al, reported vomiting (68.5%), anorexia (56.9%) and fever (47.8%) as the major associated complaints apart from acute abdominal pain.…”

Section: Discussionmentioning

confidence: 81%

“…In their study, Jain et al also found perforation as the major pathology involved. 15 However, Chanana et al in their study had ureteric colic (16.3%), urinary tract infection (12.5%), acute pancreatitis (11%), acute appendicitis (10.6%) and acute gastritis (8%) as the common causes and reported surgical intervention in only 25.8% of cases. 11 Thus, the higher surgical intervention rate in present study could be justified and is in judicious range in consideration with the pathology involved.…”

Section: Discussionmentioning

confidence: 88%

“…Back home, Jain and Gupta in their study reported vomiting (72%), abdominal distension (50%), constipation (48%) and fever (41.8%) as the major findings in their study. 3,15 In general, vomiting, constipation and fever seem to be the major findings, however, their prevalence varies slightly in different studies which might be owing to difference in underlying etiology and profile of patient population.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A study the profile of pathological disorders resulting in acute abdominal non-traumatic surgical emergencies in a tertiary care hospital, North India

et al. 2018

View full text Add to dashboard Cite

Background: Acute abdomen has a sudden onset, can persist for several hours to days and is associated with wide variety of clinical features requiring evaluation and treatment. The present study has been done to establish the etiopathological details and diagnostic verification of the patients presenting with non-traumatic pain in abdomen. Also, the management and admitted care of non-traumatic abdominal surgical emergencies and their outcome has been discussed.Methods: A prospective observational study was done in Rohilkhand Medical College and Hospital (RMCH) during November 2015 to October 2016. The study includes acute abdominal non-traumatic surgical emergencies presenting in general surgery department. All the data were analyzed through SPSS 22.Results: A total of 182 patients were included in the study. The most common complaint among patients was pain in abdomen followed by constipation and vomiting. The most common cases were intestinal perforation (57%) followed by acute appendicitis (14.89%), acute pancreatitis (9.34%), acute intestinal obstruction (9.34%) and others. Most common treatment modalities applied were Exploratory Laparotomy with true Graham’s patch repair (30.22%), non-operative/conservative treatment (26.92%) and Exploratory Laparotomy with ileostomy (13.19%). Total 13 cases (7.14%) expired (all post-operatively) and 8 cases (4.39%) developed major complications.Conclusions: The clinical course and outcome of acute abdominal emergencies in present study showed that a judicious and careful use of clinical evaluation with high index of suspicion along with radiological and biochemical findings help to reach a diagnosis based on which the appropriate management strategy ensures good outcome.

show abstract

Epidemiology of acute abdominal pain: a cross-sectional study in a tertiary care hospital of Eastern India

Thakur¹,

Kumar²

2019

Int Surg J

View full text Add to dashboard Cite

Background: Acute abdomen is defined as “a spectrum of surgical, medical and gynecological conditions ranging from trivial to life threatening conditions, which require hospital admission, investigations and treatment. The possible causes of acute abdomen may range from benign and psychogenic pain to life threatening aortic dissection. This study aims to find out the etiological spectrum of surgical acute pain abdomen among patients attending emergency department of a medical college of Eastern India.Methods: An institution based, cross-sectional study was conducted from January- June 2018, among patients admitted with pain abdomen in IQ City Medical College and Narayna Hospital, Durgapur, West Bengal, India. Data were collected on the day of discharge, with the help of pre-tested, semi structured Schedule.Results: Total 8688 patients were admitted through emergency during data collection period. 1236 (14.2%) of them were admitted with complains of pain abdomen. Frequency of surgical and non-surgical pain abdomen was 6.0% and 8.2% respectively. Most consistent symptom and sign were pain abdomen and abdominal tenderness respectively. Most common cause of acute abdomen was acute appendicitis. It was present in 38.9% of cases followed by gall bladder pathology, renal/ ureteric colic, perforation peritonitis, intestinal obstruction, bowel ischemia in 21.0%, 14.2%, 13.7%, 7.8%, and 4.4% of cases respectively.Conclusions: About 15.0% of all emergency hospitalization is due to acute abdominal pain and about 40.0% of all acute abdominal pain was due to surgical causes. Most common cause of surgical acute abdomen was acute appendicitis.

show abstract

A prospective study of epidemiology and clinical presentation of non-traumatic acute abdomen cases in a tertiary care hospital of central India

Cited by 7 publications

References 4 publications

The non traumatic acute abdomen and its clinical spectrum

The non traumatic acute abdomen and its clinical spectrum

A study the profile of pathological disorders resulting in acute abdominal non-traumatic surgical emergencies in a tertiary care hospital, North India

Epidemiology of acute abdominal pain: a cross-sectional study in a tertiary care hospital of Eastern India

Contact Info

Product

Resources

About