CLINICAL PROFILE OF NON-TRAUMATIC ACUTE ABDOMEN AT A TERTIARY CARE HOSPITAL- A RETROSPECTIVE STUDY.

Dr Naveed Anjum Qureshi,Dr Viney Sambyal

doi:10.32553/ijmbs.v3i4.203

Abstract

BACKGROUND: Pain abdomen is a common presentation, it accounts for approximately 10% of the cases in emergency room and about 2 -3% of the OPD patients. METHODS: All non trauma patients presenting with pain abdomen to emergency, above the age of 15 years were included in the study. All diagnosed pregnant females were excluded from the study. RESULTS: Most common cause of acute abdomen in our study was acute appendicitis followed by acute intestinal obstruction, cholecystitis and nephrolithiasis. CONCLUSION: Clinicians must consider multiple diagnoses during workup of these patients, those patients who may require surgical exploration should be identified early to limit their morbidity and mortality.

Highlights

Abdominal pain is one of the most common emergencies presenting to emergency department (ED)
Pain abdomen is a common presentation, it accounts for approximately 10% of the cases in emergency room and about 2 -3% of the OPD patients
Comorbid conditions of diabetes mellitus, hypertension, ischemic heart disease, previous abdominal surgery, malignancy and tuberculosis were present in 06%, 05%, 0.8%, 4.5%, 2.8%, and 01% of patients, respectively. (Table 4).Common types of pain included dull aching (56%), colicky (24%), pricking (10%), throbbing (05%), and burning (05%). 40% patients reported lower abdominal pain, while 20% had upper abdominal location whereas the pain was generalized in 20% of patients

Summary

Introduction

Abdominal pain is one of the most common emergencies presenting to emergency department (ED). It constitutes approximately 10% of the cases in the emergency department (1). It is a diagnostic challenge for the emergency physicians as the causes range from benign to life threatening conditions which may include Gastrointestinal, Urological, and Gynaecological among others (2). Pain abdomen is a common presentation, it accounts for approximately 10% of the cases in emergency room and about 2 -3% of the OPD patients

Methods

Results

Discussion

Conclusion