Abstract
Acute abdominal pain is one of the most common consultations in emergency departments. It encompasses a wide spectrum of possible diagnoses, from mild gastroenteritis to a life-threatening disease such as aortic aneurysm rupture. The vast majority of patients are discharged, considering it to be nonspecific pain. There are no pathognomonic laboratory tests, although the combination of leukocytosis with an elevated C-reactive protein (CRP) level can point to, depending on the location, a disease that requires imaging tests, such as acute appendicitis. Abdominal ultrasound is the recommended test for the initial approach and computed tomography has the greatest diagnostic resolution. Pain must be treated in all cases, whereas emergency surgery is reserved for severe diseases.
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