Abstract

Background: The main goal of imaging in acute abdomen is to narrow down the differential diagnosis and for prompt treatment.
 Material and methods: This study was done on patient presented with acute abdomen in Department of Radiodiagnosis, SMS Medical College & Associate Group of Hospitals, Jaipur. Scout X-ray done in 100 patients. Scout X –Ray film gives lots of information and very helpful in diagnosing perforation and intestinal obstruction.
 Results: USG was able to diagnose 94% cases of perforation peritonitis. intes­tinal obstruction was diagnosed only in 73.17% of cases with USG.
 Conclusion: This study shows that simple X-Ray plays an important role in definite diagnosis of acute abdomen as compare to USG.
 Keywords: Ultrasound, X- Ray, Acute Abdomen

Highlights

  • The term acute abdomen defines a clinical syndrome characterized by abdominal pain of sudden onset developed over a period several hours requiring surgical or medical treatment[1]

  • Acute abdomen comprises 5-10 % of people presenting as a general surgical emergency[2]

  • All the patient with acute abdomen come in Department of Radiodiagnosis with acute abdomen formed part of study

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Summary

Introduction

The term acute abdomen defines a clinical syndrome characterized by abdominal pain of sudden onset developed over a period several hours requiring surgical or medical treatment[1]. Identification of surgical problems is utmost importance, as most patients of acute abdomen do not require surgery. A thorough history followed by meticulous clinical examination is no doubt cornerstone of efficient patient management. Diagnosis based on clinical evaluation alone has been accurate in only 65% of cases[3]. Is often associated with delay in diagnosis and treatment and unnecessary laparotomies are done due to considerable overlap of symptoms and signs of various disease entities causing acute abdomen[4]. The main goal of imaging in acute abdomen is to narrow down the differential diagnosis and for prompt treatment

Material and Methods
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