Emergency department diagnosis of women presenting with lower abdominal pain: Appendicitis or gynaecological?

Abstract

s / International Journal of Surgery 10 (2012) S1–S52 S49 ABSTRACTS Conclusion: Improved success rate and LOS in three specialties suggests effective recommendations and increased experience, while the worsening colorectal results raise sustainability issues. Further ERAS amendments are required. 0738: OUTCOMES FOR SURGICAL FEMALE PATIENTS ADMITTED TO A SURGICAL ASSESSMENT UNIT WITH RIGHT ILIAC FOSSA PAIN IS IT TIME FOR A MULTIDISCIPLINARY APPROACH? J. Hall, A. Kaye, S. Fallis, G. Barsoum, H. Youssef. Heart of England NHS Foundation Trust, Birmingham, UK Aims: Female patients presentingwith RIF pain forma large proportion of all surgical emergencies. Some 40% are treated conservatively for ‘non-specific abdominal pain' (NSAP). This study investigates diagnostic and treatment outcomes of women presenting with RIF and lower abdominal pain. Methods: From January 2010 April 2011, details of women aged 16 60 years attending AE 7 open), diagnoses: 40 appendicitis; 5 other surgical; 21 gynae and 21 NAD. 153/308 (50%) were managed conservatively, diagnoses: 112 NSAP, 11 gynae, 11 urological, 5 musculoskeletal and 14 other surgical. 63/308 (20%) were referred to OG 4 self-discharged. Conclusions: 28% of patients were managed surgically and 46% conservatively. 31% had gynaecological pathology compared with 19% confirmed surgical pathology and 44% non-specific pathology. This suggests an MDT approach, including general surgeons and gynaecologists, would be optimal. 0904: EMERGENCY DEPARTMENT DIAGNOSIS OF WOMEN PRESENTING WITH LOWER ABDOMINAL PAIN: APPENDICITIS OR GYNAECOLOGICAL? Annakan Navaratnam, Joshua Balogun-Lynch , Patrick Roberts . Chelsea and Westminster Hospital, London, UK; 2 Imperial College School of Medicine,