The Evaluation of the Acute Abdomen

Hardy, Ashley; Butler, Bennet A.; Crandall, Marie

doi:10.1007/978-1-4614-6123-4_2

Cited by 10 publications

(3 citation statements)

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“…It has been documented that in most patients symptoms are self-limiting while few patients develop severe "Acute abdomen". Their severity of disease may be due to underlying abdominal pathology that requires emergency intervention mostly as per previous study 2 . 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 3 .…”

Section: Introductionmentioning

confidence: 97%

Etiological Spectrum of Surgical Acute Abdomen among patients attending Emergency Department

Jameel,

Anwar,

Laique

2023

PJMHS

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Background: Acute abdomen is a common health issue that ranges from trivial to life threatening condition thus requiring hospital admissions, correct diagnosis and treatment. Aim: To determine the etiological spectrum of surgical acute pain abdomen among patients attending emergency department at government hospital-Lahore. Study design: Cross sectional study. Methodology: Present study enrolled both genders (n=154) through simple random sampling technique following ethical approval. All baseline investigations were done at time of enrollment. All information was collected through structured questionnaire. Radiological investigations like ultrasonography (USG) and computer tomography (CT) scan were done on appropriate indication. Data was evaluated by using SPSS v.24. Chi-square test was used to compare the symptoms, diagnosis, treatments and clinical signs between the both genders. A p-value ≤0.05 was considered significant. Results: Mean age of the patients was 41.4±16.5 years. There were 82(53.2%) males and 72(46.8%) females. Symptoms like abdominal pain, burning micturation, diarrhea and guarding were significantly higher in males. The proportion of localized pain was higher in female as compared to male but statistically insignificant. Practical Implication: As there is a high incidence of acute abdomen among our population and there is lack of local data regarding exact epidemiology of this health issue. The findings of this study emphasized the etiological spectrum of acute surgical abdomen. This helped in pointing out the loop holes regarding correct diagnosis while identifying different presentations of serious illnesses. Conclusion: It was concluded that patients present differently with acute abdomen so common diagnosis should be made and prompt examination need to be done. Timely intervention and management can therefore prevent major complications. Keywords: Acute abdomen, Appendicitis, Perforation peritonitis and Surgical Intervention.

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Section: Introductionmentioning

confidence: 97%

Etiological Spectrum of Surgical Acute Abdomen among patients attending Emergency Department

Jameel,

Anwar,

Laique

2023

PJMHS

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“…Though mostly cases symptoms are benign and the self-limited, the subset diagnosed with the (acute abdomen), as the results of serious intraabdominal pathology requiring interventional emergency. 1,2 It may due to different etiologies as; peritonitis, appendicitis, cholecystitis, bowel obstruction, visceral perforation, diverticulitis, acute pancreatitis and salpingitis etc. It is most frequently encountered the surgical emergency and also is correlated with higher rate of mortality.…”

Section: Introductionmentioning

confidence: 99%

“…8 Patient's evaluation with the acute abdominal pain may pose a diagnostic challenge to the physicians as cases may presents with the atypical symptoms which interfere with usual pattern identification that often guides to make the decision. 1 Different studies showed different causes behind gastrointestinal surgeries and its outcome in different terms. This study has been conducted to evaluate the diagnosis of patients underwent gastrointestinal surgeries and postoperative outcome according to Clavien-Dindo system at tertiary care Hospital.…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal Surgeries

Bhanbhro

Shah

Memon³

et al. 2018

TPMJ

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Objectives: To determine the operative findings of patients underwentgastrointestinal surgeries and postoperative outcome according to Clavien-Dindo system. StudyDesign: Prospective study. Setting: Isra University Hospital Hyderabad and LUMHS Jamshoro/Hyderabad. Period: One year duration from 2014 to 2015. Material and methods: Total 50patients were included those were underwent Gastrointestinal Surgery. After taking detailedhistory and clinical examination, relevant investigations i.e. CBC, abdominal X-ray, MethyleneBlue Test to confirm the leaks and abdominal ultrasound were done. All operative findingsand postoperative outcome according to Clavien-Dindo system was recorded in the proforma.After collection of data was analysed by (SPSS) version16.0. Results: Total 50 cases studied,their mean age was 46.6+9.7 years, male were found in majority 36 (72.0%) while female were14 (28.0%). Most common diagnosis in of patients those underwent gastrointestinal surgerieswere typhoid perforation 22.0%, tuberculosis 18.0%, Duodenal perforation 20.0% and intestinalobstruction was 10.0%. Postoperative outcome was assessed according to the Clavien-Dindoscoring system as; majority of the cases 16 (32.0%) were found without complications, 12(24.0%) with grade II, followed by 10 (20.0%) were with grade I, 04 (08.0%) were with grade III,only 2 (4.0%) cases were found with grade IV and 06 (12.0%) cases were died during follow upand those were with grade V. Conclusion: It is concluded that most common operative findingswere typhoid perforation, tuberculosis, duodenal perforation and intestinal obstruction findingsinpatients those underwent gastrointestinal surgeries. According to the Clavien-Dindo scoringsystem and majority of the cases were with grade I and grade II and 6 cases were died thosewere enrolled as grade V.

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