Abstract

BACKGROUND: Chronic idiopathic pain syndromes are among the most challenging and demanding conditions to treat across the whole age spectrum. Potentially it can be unrewarding for both the patients and the medical team. Patients with chronic abdominal pain (CAP) can undergo numerous diagnostic tests with failure to detect any structural or biochemical abnormality. This study was undertaken to assess the diagnostic and therapeutic role of laparoscopy in patients with unexplained chronic abdominal pain (UCAP). PATIENTS AND METHODS: Diagnostic laparoscopy was performed for 100 patients with UCAP not diagnosed by usual clinical examination and investigations. The pain in all patients was of unclear etiology despite all the investigative procedures. All patients were subjected to laparoscopic evaluation for their conditions. The findings and outcomes of the laparoscopy were recorded and analyzed. RESULTS: UCAP is common in females (62%) than in males. The most frequent laparoscopic findings detected were abdominal adhesions (30%), followed by pelvic inflammatory disease (25%), abdominal tuberculosis (12%), chronic appendicitis (8%), mesenteric lymphadenitis (5%) and diverticulosis (2%). In 18% of cases no identifiable cause could be found. Follow after 2 months revealed pain relief in 84% irrespective of cause of pain. CONCLUSION: Laparoscopy is an effective diagnostic and therapeutic modality in the management of patients with chronic abdominal pain.

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