Simple data from history and physical examination help to exclude bowel obstruction and to avoid radiographic studies in patients with acute abdominal pain

Böhner, H.; Yang, Qiaoyun; Franke, C.; Verreet, P. R.; Ohmann, Christian

doi:10.1080/110241598750005435

Cited by 71 publications

(32 citation statements)

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“…[16] Diagnosis of many acute abdominal conditions relies on a good history and physical examination and the appropriate use of radiological investigations. [17] There is no single radiological test that is uniformly effective in identifying the cause of acute abdominal pain. [18] In the advent of new advance diagnostic modalities like MRI, CT scans and PET scans, we have found that the basic radiological investigations along with detailed clinical evaluation still have stood the test of time and have helped in making early and accurate diagnosis in acute abdominal conditions.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Diagnosis in Acute Abdominal Emergencies

Momin¹,

Azhar²,

Hussain³

2015

jemds

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BACKGROUND:Acute abdominal pain is a common presentation that requires immediate management. It includes traumatic and non-traumatic conditions of abdomen and if not diagnosed and treated promptly in the golden hours, it can lead to high mortality rate. Hence, this study was undertaken to correlate different modes of diagnosis which helps in deciding the immediate line of management proved to be lifesaving. OBJECTIVES: To analyse and compare the efficacy of clinical and radiological methods in early diagnosis of acute abdominal conditions. MATERIALS AND METHODS:This study includes patients admitted in emergency wards of Shadan General and Teaching Hospital, Hyderabad. Total 100 cases were included in this study who presented with acute abdomen. After thorough clinical examination they were subjected to Plain Xray Abdomen and Ultrasonography of abdomen and pelvis. RESULTS: All 100 patients were thoroughly evaluated clinically and subjected to Plain X-ray abdomen with Ultrasonography of abdomen. Acute Abdomen was most common in age group between 20-40 years with male predominance. Acute appendicitis was the most common cause of surgical condition, followed by Peritonitis and then Intestinal Obstruction. The diagnostic accuracy rates in male and female patients were 93% and 80% respectively. Ultrasonography had highest sensitivity rate (97.8%) and plain Xray abdomen had highest specificity rate (88.4%). CONCLUSION: Each of these diagnosing methods in acute abdomen are complementary to each other. With efficient clinical acumen and using ultrasonography and X-ray abdomen as basic diagnostic investigations, one can do early diagnosis with 97% to 99% accuracy and thus can avoid unnecessary operations.

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Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Diagnosis in Acute Abdominal Emergencies

Momin¹,

Azhar²,

Hussain³

2015

jemds

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“…Combination of vomiting, increased bowel sounds, and a distended abdomen has a positive predictive value for SBO of 64% [21]. The exact location or cause of SBO may not be diagnosed via plain abdominal imaging [22].…”

Section: Discussionmentioning

confidence: 99%

CT Optimization for Diagnosis of Some Acute Abdomen Cases

Jastaniah¹,

Salih²,

Alsafi³

et al. 2015

ACT

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The acute abdomen is one of the most frequent causes for presentation to the emergency department. Imaging plays an important role for an accurate diagnosis, which in turn diminishes morbidity and mortality. The aim of this study was to demonstrate optimum CT aspects and emphasize on the important features of CT for those patients presenting with an acute abdominal pain at the Emergency Department both in general and in a number of selected conditions (appendicitis, small-bowel obstruction, acute pancreatitis, and diverticulitis). The reported data by this study are based on the author working experience, which forms a continuous protocol adjustment process. The present study provides evidence that CT would result in definite diagnosis of patients with abdominal pain in terms of the detection of some urgent conditions.

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“…Plain abdominal radiographs have 77% specificity and 50% sensitivity compared with computed axial tomography (CT scan) and ultrasonography [12]. Diagnostic accuracy of plain films significantly improves if at least two of the six following symptoms are present: distended abdomen, increased bowel sounds, history of constipation, previous abdominal surgery, age of 50 years or older, and vomiting [13]. Plain films have the added value of evaluating the contribution of fecal impaction to the clinical picture.…”

Section: Diagnostic Assessmentmentioning

confidence: 99%

Recent advances in malignant bowel obstruction: an interface of old and new

Potluri

Zhukovsky

2003

Current Science Inc

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Malignant bowel obstruction continues to be a difficult problem for patients with abdominal and pelvic primary tumors and tumors originating in other sites. The main treatment options consist of surgery, stenting, and pharmacotherapy. Despite recent advances, the impact of available treatment modalities on symptom control, longevity, quality of life, and associated health care costs have not been evaluated rigorously. This article reviews the available data and suggests an approach to the management of this challenging patient population.

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Simple data from history and physical examination help to exclude bowel obstruction and to avoid radiographic studies in patients with acute abdominal pain

Abstract: A considerable number of plain abdominal films taken for patients with acute abdominal pain could be avoided by focusing on clinical variables relevant to the diagnosis of bowel obstruction.

Cited by 71 publications

References 0 publications

Clinical and Radiological Diagnosis in Acute Abdominal Emergencies

Clinical and Radiological Diagnosis in Acute Abdominal Emergencies

CT Optimization for Diagnosis of Some Acute Abdomen Cases

Recent advances in malignant bowel obstruction: an interface of old and new

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