Clinical, Diagnostic, and Operative Correlation of Acute Abdomen
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 2
Abstract
Introduction: The term acute abdomen refers to signs and symptoms of abdominal pain and tenderness, a clinical presentation that often requires emergency surgical therapy. The correct interpretation of abdominal pain is one of the most challenging demands to any surgeon. Since proper therapy often requires surgent action, the luxury of the leisurely approach suitable for the study of other conditions is frequently denied. Aims and Objectives: This study aims to compare the preoperative diagnosis based on clinical examination and investigation with the operative diagnosis in non-traumatic acute abdomen. Materials and Methods: The study was conducted from August 2015 to September 2017 over a period of 23 months conducted at Mahatma Gandhi Memorial Hospital, Warangal, Telangana, 100 patients with various causes of acute abdomen were included in the study. All the patients attending the emergency department (causality) with the clinical feature suggestive of non-traumatic acute abdomen within the study period were included in the study. Results: A total number of 100 patients were included in this study. All these patients underwent emergency laparotomy (surgery) with the provisional diagnosis of acute abdomen. 66% of the patients were male and 34% were female. Conclusion: Total leukocytes count and differential leukocytes count were most sensitive in evaluating patients with acute appendicitis and peritonitis while plain X-ray abdomen had highest sensitivity in evaluating patients with bowel obstruction and acute peritonitis as well. Acute appendicitis was the most common cause (60%) of patient presenting to emergency and casualty as acute abdomen.
Authors and Affiliations
Madipeddi Venkanna, Doolam Srinivas, Budida Sharada
Keywords
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