The non traumatic acute abdomen and its clinical spectrum

Abstract

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.

Treatment Outcomes of Non-Traumatic Acute Abdomen and Its Associated Factors in Adult Patients at Tibebe Ghion Specialized Hospital, Bahir Dar, Ethiopia: Cross-Sectional Study

“…Patients who had a record of body temperatures over 37.5 had significant association with unfavourable treatment outcome. This finding is similar with a study conducted at Tikur Anbessa Hospital, 25 which revealed that patients with records of high body temperatures had a lower chance of improving than those with normal body temperatures. This might be due to fever being characterized by a temperature of 37.5°C or higher and is accompanied by alterations in the immunological and metabolic systems.…”

“…14 Participants who had guarding on physical examination had significant association with unfavourable treatment outcome. Similar findings were observed at Black Lion Hospital, 25 and Goba Hospital. 26 This is owing to the patient's aversion to have their abdomen handled due to peritoneal inflammation and irritation, a condition known as guarding.…”

Ultrasonographic evaluation of common findings in acute abdomen amongst paediatric age group in Kano Metropolis, Nigeria

“…The age range of this study as indicated in Table 1 is in agreement with the findings of the studies conducted by Lin and Lin 2013;Arredondo (2018) and Aviral et al (2005). However, this was contrary to the study conducted by Kumar et al (2019) that reported higher age range of the selected subjects. The most affected age group in this study was 6-11years.…”

“…Main points regarding acute abdomen should include pain location, radiation, intensity and nature of pain, previous episodes of acute abdomen, and the intensity or progression of the pain, as well as associated symptoms (Hijaz and Friesen, 2017). Kumar et al (2019) reported that the gaps between the acute abdominal pain and acute abdomen overlap and are used interchangeably in clinical practice.…”