A study of correlation between preoperative provisional diagnosis and intra operative findings in the patients with non traumatic acute abdominal pain
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 1
Abstract
Introduction: Abdominal pain is one of the most common reasons for an emergency department (ED) visit, accounting to about 5% to 10% of all ED visits. Aims and Objectives: To Study Correlation between Preoperative Provisional Diagnosis and Intra Operative Findings in the Patients with Non Traumatic Acute Abdominal Pain. Material and Methods: After approval form the Institutional ethical committee a records based, cross-sectional study was carried out in the Department of General Surgery at tertiary health care center during one-year period June 2014-June 2015. All details about clinical history, Clinical diagnosis, Ultrasongraphic findings, CT-Scan findings and Intraoperative findings was extracted from the case records. There were 100 patients were included into the study. 62 pt managed operatively and 38 patients managed conservatively. Result: The majority of the Patients were from the age group of 30-40 i.e. 33%. The majority of the patients were Males i.e. 56% and Females were 44% As per Preoperative Provisional Diagnosis the most common diagnosis found was Acute appendicitis in 44% followed by; Urolithiasis in 14%, Gastritis in 13%, Hollow viscus perforation in 12%, Intestinal obstruction in 06%, Acute cholecystitis in 6%, Acute Pancreatitis in 5%. As per Intraoperative findings in patients with preoperative provisional diagnosis of acute Appendicitis intra op finding was inflamed appendicitis in 63.46% followed by Perforated appendicitis in 20.46%, Gangrenous appendicitis in 13.64%, Normal appendicitis in 2.27%. For preoperative diagnosis in 12 patients as Hollow viscus perforation incidence of Duodenal perforation 58.4% followed by Gastric perforation in 33.3%, Ileal perforation in 8.3% . For total 6 patients as preoperative provisional diagnosis as intestinal obstruction the intraop finding were Postoperative adhesive band 50.1%, Sigmoid volvulus 16.7%, Superior mesenteric artery thrombus 16.7%, Obstructed hernia 16.7.The compatibility of intraoperative findings was highest with USG Diagnosis i.e. 89.00% followed by CT-Scan was 81% and of the Clinical diagnosis was 59%. Conclusion: As per Preoperative Provisional Diagnosis the most common diagnosis found was Acute appendicitis in followed by Urolithiasis, Gastritis, Hollow viscus perforation, Intestinal obstruction, Acute cholecystitis, Acute Pancreatitis etc . The compatibility of intraoperative findings was highest with USG Diagnosis i.e. 89.00% followed by CT-Scan was 81% and of the Clinical diagnosis was 59%.
Authors and Affiliations
Anil Shriram Mundhe, Tushar S Agrawal
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