Presentation and management of non-traumatic acute abdominal pain at tertiary care hospital
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 2
Abstract
Background: Acute Abdomen is one of the most common reasons for an emergency surgical department visit. The spectrum of aetiology of diseases causing acute abdomen ranges from appendicitis, hollow viscous perforation, intestinal obstruction and others. This study was done to identify the various etiologies of non-traumatic acute abdomen, the various clinical patterns that help to make a clinical diagnosis, presentation of pain in various etiologies and its influence on clinical decision making. Material and Methods: A total of 100 patients, aged more than 12 years, presenting with complaint of acute abdominal pain of non-traumatic origin requiring admission were evaluated. The pain characteristics, presentation of pain in different aetiologies and correlation between preoperative provisional diagnosis and intra operative findings were analyzed. Results: Out of 100 cases included in the study, 53 were male and 47 were female. The pain was sudden in onset in 59% of patients. In majority of the cases pain was colicky (54%) and in 24% it was dull aching, whereas 22% cases were unable to characterize their pain. Common associated symptoms included nausea (68%), vomiting (41%) and urinary symptoms (12%). Acute appendicitis was the most common provisional diagnosis of non-traumatic acute abdominal pain. Intraoperatively all the provisional diagnosis were confirmed except in one case of acute appendicitis which had normal appendix. Discussion and Conclusion: The most common cause of acute abdomen in this study was acute appendicitis affecting young population. The other common causes were urolithiasis followed by gastritis and hollow viscus perforation affecting middle aged and elderly. Adequate history and physical evaluation alone is sufficient to accurately diagnose the condition and treat accordingly.
Authors and Affiliations
Tushar S Agrawal, Anil Shriram Mundhe
Keywords
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