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
Keywords
Related Articles
- EP ID EP495199
- DOI -
- Views 111
- Downloads 0
Pattern of Menstruation and Health Seeking Behavior of College Going Girls in Latur City, Maharashtra
Introduction: Menarche, the signal of female fertility has both social and medical perspectives. The main concern is irregular cycles and pain during menses. Menstrual problems are generally perceived as only minor healt...
Orbital Cysticercosis Presenting as Proptosis
Orbital cysticercosis is a less common presentation of cysticercal infestation. Diagnosis is primarily by CT and MRI investigations. High resolution ultrasound is rarely used in the diagnosis. Patients can be managed con...
Relationship of inflammatory markers with metabolic and anthropometric variables in obese individuals
Introduction: It is recognized that obesity is associated with a chronic low-grade inflammation and activation of immune system. Serum sialic acid and C-reactive protein (CRP) are markers of inflammation. Aims and Object...
Comparitive Study of Blood Glucose, Glycosylated Hemoglobin, Serum Cholesterol, Triglycerides and H.D.L. Levels in Lean, Nonobese and Obese Type 2 Diabetes Mellitus
Background: Diabetes has emerged as a major public health problem in our country Insulin has important effects on key steps in metabolism of lipids and lipoproteins and altered lipid metabolism is common in diabetic pop...
Study to Assess the Awareness and Perception of Eye Donation among Medical Students
Corneal transplantation remains a major treatment option for restoring sight among those suffering from corneal blindness. The number of corneal transplants done is far less than the actual requirement in India. Th...