The role of ultrasonography in the diagnosis and management of non-traumatic acute abdominal pain

2008 ◽  
Vol 3 (4) ◽  
pp. 349-354 ◽  
Author(s):  
Mehmet Selim Nural ◽  
Meltem Ceyhan ◽  
Ahmet Baydin ◽  
Selim Genc ◽  
Ilkay Koray Bayrak ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Diagnosis And Management

scholarly journals Role of emergency physician–performed ultrasound in the differential diagnosis of abdominal pain

2018 ◽  
Vol 27 (2) ◽  
pp. 79-86
Author(s):  
Nalan Kozaci ◽  
Mustafa Avci ◽  
Gul Tulubas ◽  
Ertan Ararat ◽  
Omer Faruk Karakoyun ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Emergency Physician ◽  
Gold Standard ◽  
Acute Abdominal Pain ◽  
Point Of Care ◽  
Final Diagnosis ◽  
Free Fluid ◽  
Emergency Physicians ◽  
Abdominal Ultrasonography

Objectives: This prospective study was performed to evaluate the diagnostic accuracy of bedside point-of-care abdominal ultrasonography performed by emergency physician in patients with non-traumatic acute abdominal pain. Methods: The patients, who were admitted to emergency department due to abdominal pain, were included in this study. The emergency physician obtained a routine history, physical examination, blood draws, and ordered diagnostic imaging. After the initial clinical examinations, all the patients underwent ultrasonography for abdominal pathologies by emergency physician and radiologist, respectively. Point-of-care abdominal ultrasonography compared with abdominal ultrasonography performed by radiologist as the gold standard. Results: The study included 122 patients. Gallbladder and appendix pathologies were the most commonly detected in the abdominal ultrasonography. Compared with abdominal ultrasonography, point-of-care abdominal ultrasonography was found to have 89% sensitivity and 94% specificity in gallbladder pathologies; 91% sensitivity and 91% specificity in acute appendicitis; 79% sensitivity and 97% specificity in abdominal free fluid; 83% sensitivity and 96% specificity in ovarian pathologies. Compared to final diagnosis, preliminary diagnoses of emergency physicians were correct in 92 (75.4%) patients. Conclusion: This study showed that emergency physicians were successful in identifying abdominal organ pathologies with point-of-care abdominal ultrasonography after training.

Mucocutaneous Lymph Node Syndrome: Report of Two Cases Complicated by Gallbladder Hydrops and Diagnosed by Ultrasound

PEDIATRICS ◽  
1978 ◽  
Vol 61 (5) ◽  
pp. 699-702
Author(s):  
Daniel B. Magilavy ◽  
David P. Speert ◽  
Terry M. Silver ◽  
Donita B. Sullivan
Keyword(s):  
Abdominal Pain ◽  
Lymph Node ◽  
Acute Abdominal Pain ◽  
Mucocutaneous Lymph Node Syndrome ◽  
Diagnosis And Management ◽  
Gallbladder Hydrops ◽  
Lymph Node Syndrome ◽  
Syndrome Report

Two patients with mucocutaneous lymph node syndrome are presented. During the course of their illnesses, they developed acute abdominal pain secondary to hydrops of the gallbladder. The diagnosis and management of each case was facilitated by ultrasonography.

The role of emergency MRI in the setting of acute abdominal pain

2014 ◽  
Vol 21 (6) ◽  
pp. 615-624 ◽  
Author(s):  
Noah G. Ditkofsky ◽  
Ajay Singh ◽  
Laura Avery ◽  
Robert A. Novelline
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain

scholarly journals Laparoscopy in acute abdomen between encouragement and inhibition

2019 ◽  
Vol 6 (10) ◽  
pp. 3507
Author(s):  
Mena Zarif Helmy ◽  
Ahmed Abdel Kahaar Aldardeer
Keyword(s):  
Abdominal Pain ◽  
Acute Abdomen ◽  
Acute Abdominal Pain ◽  
Past History ◽  
Abdominal Distension ◽  
X Ray ◽  
Main Complaint ◽  
Number Of Patients ◽  
History Of

Background: Laparoscopy has been a valuable technique in the treatment of acute abdominal diseases and can be considered either to diagnose or to treat selected cases.Methods: Here, we randomly select patients with acute abdominal pain in whom the diagnosis was not clear after ultrasonography and plain X-ray, we did diagnostic laparoscopy and according to its findings, we proceeded to surgical intervention. 50 cases with acute abdomen were included in this study in order to clarify the role of laparoscopy in the diagnosis and treatment of acute abdomen.Results: From the 50 patients, the main complaint was abdominal pain and presented in (100%) of patients, 38 of patients had vomiting, fever in 29 patients and 14 patients had abdominal distension, 7 patients had alteration in bowel habits and burning micturition in 6 patients. In this study, 10 patients had past history of previous surgery. By laparoscopy we could see the pathology in 46 patients and complete the management in all of patients but failed to reach the diagnosis in 2 cases and conversion to laparotomy in other 2 cases. Laparoscopic surgery mean was 47.9±12.4 minutes. Hospital stay mean was (1.851) days. Morbidity was 10%. No mortality was found in our study.Conclusions: Laparoscopy can be considered safe for diagnosis and effective in the treatment of patients with acute abdomen. It may be useful to avoid the unnecessary laparotomies in a large number of patients presented with acute abdominal pain.

The role of imaging in the management of adults with non-traumatic acute abdominal pain

Imaging ◽  
2009 ◽  
Vol 21 (1) ◽  
pp. 1-19
Author(s):  
J T SMITH ◽  
C PARCHMENT-SMITH
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain

scholarly journals The Role of Routine Assays of Serum Amylase and Lipase for the Diagnosis of Acute Abdominal Pain

2009 ◽  
Vol 91 (5) ◽  
pp. 381-384 ◽  
Author(s):  
Paul A Sutton ◽  
David J Humes ◽  
Gemma Purcell ◽  
Janette K Smith ◽  
Frances Whiting ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Pain ◽  
Serum Amylase ◽  
Reference Range ◽  
Acute Abdominal Pain ◽  
Clinical Suspicion ◽  
University Teaching ◽  
Data Set ◽  
Serum Lipase

INTRODUCTION We aimed to evaluate the role of routine measurements of serum amylase and lipase in the diagnosis of acute abdominal pain. PATIENTS AND METHODS We identified all patients who had serum amylase and lipase assays over a 62-day period at a single university teaching hospital and reviewed their case notes. RESULTS We excluded 58 of the 1598 patients on grounds of ineligibility (< 18 years of age and those transferred from other hospitals). A complete data set was obtained for 1520 (98.7%) of the remaining 1540 patients. Only 9.1% of requests were based on a clinical suspicion of acute pancreatitis. Of the 44 (2.9%) patients who had acute pancreatitis, only 28 (63.6%) had an associated rise in serum amylase and/or lipase 3 times above the maximum reference range, the remainder being diagnosed radiologically. At this cut-off range, the sensitivity and specificity for serum amylase were 50% and 99%, and those for serum lipase 64% and 97%, respectively. CONCLUSIONS Routine measurements of serum amylase and lipase are unhelpful in the diagnosis of acute abdominal pain unless there is clinical suspicion of acute pancreatitis. In these patients, assay of lipase alone is preferable to assay of amylase alone or both enzymes.

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