A COMPARATIVE ANALYSIS OF CLINICAL, RADIOLOGICAL AND OPERATIVE FINDINGS IN ACUTE ABDOMEN

Dr. Hari S. Mahobia; Dr. Gajanan Wagholikar; Dr. Manish Shrivastava; Dr. Abhishek Bansal; Dr. Ninad Gadre

Volume : IX, Issue : V, May - 2019

A COMPARATIVE ANALYSIS OF CLINICAL, RADIOLOGICAL AND OPERATIVE FINDINGS IN ACUTE ABDOMEN

Dr. Hari S. Mahobia, Dr. Gajanan Wagholikar, Dr. Manish Shrivastava, Dr. Abhishek Bansal, Dr. Ninad Gadre

Abstract :

Aim– To study the accuracy of clinical and radiological diagnosis in non–traumatic cases of acute abdomen. Methodology: A prospective observational study was conducted on 74 four patients who presented to Accident and Emergency department of Aditya Birla Memorial Hospital, Pune with non– traumatic acute abdomen and underwent emergency surgical intervention over a period from Jan 2017 to March 2018. Pre–operative clinical and radiological diagnosis based on clinical examinations and radiological investigations was compared with post–operative diagnosis based on operative findings. Results: Diagnostic accuracy of clinical diagnosis in comparison to post–operative diagnosis was 87.83% and radiological diagnosis in comparison to post–operative diagnosis was 95.94%. Conclusion: The study strongly suggested that with thorough history taking and proper clinical examination, clinical diagnosis was successfully achieved in 88% of patients. Radiological investigations help in confirming clinical suspicions and giving added information of underlying pathology with accuracy of 96%.