Acute Abdomen : A Clinical study on its Pattern and Presentation in a tertiary care Hospital of North India.

Dr Alok Kumar Srivastava; Dr Janardhan Prasad Ghildiyal

Volume : VI, Issue : VI, June - 2017

Acute Abdomen : A Clinical study on its Pattern and Presentation in a tertiary care Hospital of North India.

Dr Alok Kumar Srivastava, Dr Janardhan Prasad Ghildiyal

Abstract :

Background: Abdominal pain of sudden onset is the hallmark of most non–traumatic emergency surgical presentations. Most of the patients complain of pain abdomen of severe onset .In surgical emergency, perforation of hollow viscous is the main cause followed by acute appendicitis, acute cholecystitis and other causes. Every patient should be thoroughly investigated and managed on priority basis and immediate surgical intervention be done should to decrease the morbidity and mortality. Objectives: The study was done to know the differential diagnosis of the acute abdomen and to study the pattern of presentation of the disease. Material and Methods: It was a prospective cross sectional study done on 200 cases admitted in Department of Surgery, Hind Institute of Medical Sciences, Mau Atariya, Sitapur with the diagnosis of Acute abdomen. Two hundred patients presenting at the Hind Institute of Medical Sciences surgery/emergency unit and managed by the general surgeons between 1st of January 2016 and 31st of December 2016 were recruited and followed–up throughout the period of admission. The biodata and clinical information inclusive of diagnosis, investigations, treatment modality and outcome were entered in a structured questioner. Standardized treatment was given to all patients and difficulties encountered in their management were also noted. The data collected was evaluated using SPSS17. Results: Two hundred patients who met the inclusion criteria were recruited during the study period. The patients� age ranged from 10 to >60 years, 52.5% of the patients were aged 21– 40 years while those aged 41–60 yrs constituted 37.5% of all cases. One thirty six (68%) patients were male while 64 patients (32%) were female. The commonest cause of acute abdomen was appendicitis (35%) followed by intestinal obstruction (23.5%), perforated typhoid ileitis 16.5 % and peptic ulcer disease (10.5%), respectively. Conclusion: The presentation of acute abdomen in our emergency is mostly of the cases of appendicitis, intestinal obstruction, perforated typhoid followed by peptic ulcer disease. Every case of acute abdomen should be thoroughly investigated and managed accordingly.