Abstract

Introduction: Acute abdomen is a very common problem in emergency department. Aims and Objectives: This study aims to find out the clinical and epidemiology profile of acute abdominal pain among patients attending emergency department of Santosh Medical College Ghaziabad. Materials and Methods: A tertiary care hospital based, cross-sectional study was conducted from January 2018- April 2019 2018, among patients presenting with acute abdominal pain to Santosh Medical College Ghaziabad, India. Data was entered on a standard data collection sheet after obtaining a written informed consent. Results: Out of 1200 patients admitted via the Emergency Department at the Hospital, 200 (16.6%) were admitted with atraumatic acute abdominal pain. Out of 200, 120(60%) were due to Surgical causes and 80 due to non-surgical causes. Most consistent symptom and sign were pain abdomen and abdominal tenderness respectively. Acute cholecystitis was the most common etiology of acute abdominal pain (35.8% cases), followed by, Renal Stones (30.5%), Acute Appendicitis (17.5%) and Intestinal Obstruction (16.67%) respectively. Conclusion: About 16.60% of all emergency admissions were due to acute abdominal pain and about 60.0% of all atraumatic acute abdominal pain was due to surgical cause. Acute cholecystitis was the most common cause of surgical abdominal pain. Keywords: Acute abdominal pain (AAP), Right hypochondrium (RHC), Epigastrium, Hypochondrium.

Highlights

  • Acute abdomen is a very common problem in emergency department

  • Materials and Methods A cross Sectional study was done in the Department of General Surgery, Santosh Medical College and Hospital, Statistical analysis Data was entered in MS-EXCEL and the variables identified were analyzed

  • Out of 1200 patients admitted via the emergency department at the hospital, 200 were admitted with atraumatic acute abdominal Pain

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Summary

Introduction

Acute abdomen is a very common problem in emergency department. Aims and Objectives: This study aims to find out the clinical and epidemiology profile of acute abdominal pain among patients attending emergency department of Santosh Medical College Ghaziabad. Materials and Methods: A tertiary care hospital based, cross-sectional study was conducted from January 2018- April 2019 2018, among patients presenting with acute abdominal pain to Santosh Medical College Ghaziabad, India. Acute cholecystitis was the most common etiology of acute abdominal pain (35.8% cases), followed by, Renal Stones (30.5%), Acute Appendicitis (17.5%) and Intestinal Obstruction (16.67%) respectively. Acute cholecystitis was the most common cause of surgical abdominal pain. Gastroenteritis and abdominal trauma are common causes of pain abdomen adults less than 18 years of age. Acute Gastritis, Cardiac and some metabolic emergencies can present as acute abdominal pain.[7,8,9,10]

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