Volume: 10 Issue: 1
Year: 2022, Page: 79-83, Doi: https://doi.org/10.47799/pimr.1001.15
Received: June 13, 2021 Accepted: Sept. 17, 2021 Published: Sept. 17, 2021
Background: The acute abdomen is a condition that demands urgent attention and treatment, ranging from trivial to life threatening conditions. The aim of this study was to know in detail the epidemiology and outcome in non-traumatic acute abdomen.
Methods: An institution based, cross-sectional study was conducted from December 2019 to April 2020, at Department of General Surgery Govt. Medical College Kota Rajasthan. The study included 100 cases of non-traumatic abdomen.
Results: Non- traumatic acute abdominal pain was more common in 2nd to 6th decade of life. The males to female ratio is 2.85:1. Hollow viscus perforation (30%) forms the commonest cause of acute abdomen followed by acute appendicitis, Sub acute intestinal obstruction, renal/ureteric colic, cholelithiasis, pancreatitis, non-specific pain abdomen, OBG related pathology, liver abscess, Meckel’s diverticulitis and splenic abscess in 24%, 23%, 8%, 4%, 3%, 3%, 2%, 1%, 1% and 1% respectively. Sixteen patients managed conservatively. Most common surgical procedures done were exploratory laparotomy with needful for hollow viscus perforation and open/laparoscopic appendicectomy for acute appendicitis.
Conclusions: Proper history taking, clinical examination with supportive imaging findings are most important to narrow the differential diagnosis and for immediate intervention to limit morbidity and mortality.
Keywords: Non-traumatic acute abdomen, Hollow viscus perforation, Acute appendicitis, Intestinal obstruction
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Vaswani R, Meena SK, Meena O, Dhaka AK, Meena SN, Kumar A. A Clinical Study and Management of Non Traumatic Acute Abdomen. Perspectives in Medical Research. 2022;10(1):79-83 DOI: 10.47799/pimr.1001.15