scholarly journals The role of laparoscopy in diagnosis of patients with chronic abdominal pain

2016 ◽  
Vol 4 (1) ◽  
pp. 326 ◽  
Author(s):  
Pradeep Saxena
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Descriptive Analysis ◽  
Abdominal Tuberculosis ◽  
Chronic Abdominal Pain ◽  
Diagnostic Dilemma ◽  
Chronic Appendicitis ◽  
Fluid Analysis ◽  
Conclusive Diagnosis

Background: Chronic abdominal pain still remains one of the leading clinical problems presenting to physicians. Reaching a definitive diagnosis and prompt management is usually delayed because invasive investigations are frequently required to come to a conclusive diagnosis. The aim was to study the varied clinical picture of chronic abdominal pain and evaluate the role of laparoscopy in reaching a conclusive diagnosis in these patients.Methods: A prospective and retrospective study of 142 patients of chronic abdominal pain who underwent diagnostic laparoscopy in our surgery department from June, 2006 to December, 2015 was done. A descriptive analysis of data collected from case records of these patients was done to study the varied clinical picture, laboratory reports, radiological findings, laparoscopic findings and histological reports. The usefulness of laparoscopy to confirm the diagnosis and in clinical management of these patients of chronic abdominal pain was evaluated.Results:Laparoscopy was performed in 142 patients of chronic abdominal pain with unsettled diagnosis. A conclusive diagnosis could be made in 136 of these patients. The common causes of chronic abdominal pain were abdominal tuberculosis, adhesions, bands, small intestinal strictures, chronic appendicitis, abdominal malignancy and various gynecological diseases. Gynecological problems causing chronic abdominal pain were pelvic inflammatory disease, ovarian cyst, tubo-ovarian mass, hydrosalpinx, fibroid uterus, bulky uterus, endometriosis. Thus laparoscopy provided positive diagnosis of in 136 (95.77%) patients based on laparoscopic findings, histological reports, ascitic fluid analysis and cytology.Conclusions:In patients suspected to have abdominal pathology early laparoscopy may be useful to establish a conclusive diagnosis with acceptably low morbidity (<5 %). An early resort to laparoscopy can resolve the diagnostic dilemma and early treatment can be instituted.

scholarly journals Evaluation of efficacy of laparoscopy in patients with chronic abdominal pain

2017 ◽  
Vol 4 (6) ◽  
pp. 1856
Author(s):  
Sanjay Prasad ◽  
Suraj Jain ◽  
Advait Prakash ◽  
Ajeet Gautam ◽  
Mohan Gadodia ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Psoas Abscess ◽  
Demographic Data ◽  
Tertiary Care ◽  
Cost Effective ◽  
Abdominal Tuberculosis ◽  
Pelvic Abscess ◽  
Chronic Abdominal Pain ◽  
Chronic Appendicitis

Background: Chronic abdominal pain is a major cause of surgical dilemma. Patients with chronic abdominal pain usually undergo a battery of investigations without yielding much in diagnosis. The pain in such patients therefore becomes chronic and perpetual source of discomfort. This study was under taken to assess the efficacy of performing diagnostic and therapeutic laparoscopy in patients with chronic abdominal pain for longer than 3 weeks or more.Methods: This prospective study was performed at a tertiary care level hospital. All patients undergoing laparoscopy for chronic abdominal pain were included in the study from December 2013 to June 2015. The patient’s demographic data, duration of pain, diagnostic studies, intra-operative findings during laparoscopy, interventions performed and follow-up were recorded and evaluated.Results: A total of 50 patients, 22 females and 28 males, between age range of 10 years to 60 years underwent diagnostic laparoscopy for the evaluation and treatment of chronic abdominal pain. The average duration with pain was 10.38 weeks (range 4-32 weeks). Findings included abdomen chronic appendicitis in 15 patients, abdominal tuberculosis in 11 patients, ovarian cyst five patients, sub acute intestinal obstruction in five patients and liver abscess four patients. Meckel’s diverticulum, ectopic pregnancy, pelvic abscess, appendicular lump, Psoas abscess and typhilitis were noted in one patient each. Various procedures in accordance with pathology were performed. 92% of patients had pain relief at the time of follow up.Conclusions: Diagnostic laparoscopy is a better, cost-effective, and efficient method of establishing the diagnosis in patients with chronic abdominal pain.

scholarly journals The role of diagnostic laparoscopy in the era of modern imaging techniques: a study from a single center

2019 ◽  
Vol 6 (5) ◽  
pp. 1578
Author(s):  
Muzafar Yousuf Parray ◽  
Ajaz Ahmad Malik ◽  
Yaqoob Hassan ◽  
Ishfaq Ahmad Wani ◽  
Munir Ahmad Ahmad Wani ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Liver Disease ◽  
Diagnostic Laparoscopy ◽  
Abdominal Tuberculosis ◽  
Final Diagnosis ◽  
Diffuse Liver Disease ◽  
Chronic Appendicitis ◽  
Focal Liver Disease ◽  
Abdominal Malignancy

Background: Despite the tremendous progressive evolution in the field of medicine, wherein, most of the diseases can be diagnosed based on history, clinical examination and investigations, there are quite a number of diseases which remain undiagnosed. It is here, where the role of diagnostic laparoscopy becomes important to reach to a conclusion for further management of patients.Methods: This study comprising of 70 patients undergoing diagnostic laparoscopy at SKIMS over a period of 4 years. This study was done to evaluate the role of diagnostic laparoscopy in patients with acute and chronic abdominal conditions wherein final diagnosis could not be achieved after all necessary imaging, serological, cytological, and microbiological investigations.Results: Out of 70 patients subjected to diagnostic laparoscopy in our study, the commonest indication was as cites of undetermined etiology (42.9%) followed by chronic abdominal pain (25.7%) diffuse liver disease (11.4%) acute abdominal pain (SAIO, cholecystitis, acute appendicitis, PID, endometriosis) (5.7%) abdominal tuberculosis (4.3%) focal liver disease (2.9%) bleeding per rectum (2.9%) abdominal malignancy (2.9%) and primary infertility (1.4)%. The post diagnostic laparoscopy outcome (final diagnosis) were abdominal malignancy 22 (31.4%) followed by abdominal tuberculosis 16 (22.9%) diffuse liver disease 6 (8.6%) focal liver disease 6 (8.6%) PID 4 (5.7%) SAIO 4 (5.7%) post-operative pelvic adhesions 3 (4.3%) Meckel’s diverticulum 2 (2.9%) abdominal plus pulmonary tuberculosis 1 (1.4%), endometriosis 1 (1.4%), ovarian cyst 1 (1.4%), pseudomyxoma peritonei 1 (1.4%), chronic appendicitis 1 (1.4%) and inconclusive 2 (2.9%). Diagnostic laparoscopy confirmed pre-operative diagnosis in 10 (14.3%) patients. In 29 (41.4%) patients pre-operative diagnosis was corrected by diagnostic laparoscopy. In 29 (41.4%) patients diagnosis was made only after diagnostic laparoscopy.Conclusions: Diagnostic laparoscopy is a safe, quick, and effective adjunct to non surgical diagnostic modalities, for establishing a conclusive diagnosis with high percentage of accuracy in diagnosis and impact in further management in selected patients.

scholarly journals DIAGNOSTIC LAPAROSCOPY IN CHRONIC AND RECURRENT ABDOMINAL PAIN MANAGEMENT

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Abhishek Jina ◽  
Abhinav Chaudhary ◽  
U C Singh
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Unknown Origin ◽  
Recurrent Abdominal Pain ◽  
Chronic Abdominal Pain ◽  
Chronic Appendicitis ◽  
Fluid Analysis ◽  
Invasive Method ◽  
Safe Technique

Background: Chronic abdominal pain is a common condition encountered by many surgeons in their clinic every day. Despite of availability of different tests in maximum cases the reason behind the pain remains unknown. Diagnostic Laparoscopy is a safe technique that can identify the cause of the pain without using any invasive method. In the present study, the use of diagnostic laparoscopy in the diagnosis and management of chronic and recurrent abdominal pain of unknown origin was investigated. Material and Methods: All the patients who visited the outpatient department with chronic abdominal pain were included in this study. All the demographic parameters were included and after careful investigation diagnostic laparoscopy were conducted in all these patients. The postoperative outcomes were also recorded in all the patients. Result: Total of 51 patients was included in this study. Among these patients 23 patients were male and 28 patients were female. Maximum of the patients were in the 31-40 years of age group. The most common pathology for chronic abdominal pain was chronic appendicitis (n=9, 18%) followed by Koch's abdomen and adhesions (n=8, 16%). There were 4 cases of Carcinoma of the gall bladder and 3 cases of metastatic disease with dissemination in the peritoneal cavity and ascitis. 3 cases of liver cirrhosis and 3 cases of endometriosis were also detected. 2 cases of ovarian cysts which were missed by USG were detected correctly by laparoscopy. There were two unusual cases, one of chronic ectopic pregnancy and another of Crohn's disease. All the above findings were confirmed by direct visualizing (86%), or by biopsy (74%) or by fluid analysis. There were no long term complications in our study. Conclusion: The present study concluded that laparoscopy is a safe and effective method for diagnosis of chronic abdominal pain. Keywords: Chronic abdominal pain, diagnostic laparoscopy, recurrent abdominal pain

M1221 The Role of Substance P and Mast Cells as Immunohistologic Biomarkers for Chronic Abdominal Pain in Children

2010 ◽  
Vol 138 (5) ◽  
pp. S-357
Author(s):  
Wendy A. Henderson ◽  
Tara J. Taylor ◽  
Ravi Shankar ◽  
Miriam R. Anver ◽  
Donna O. Butcher ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Mast Cells ◽  
Substance P ◽  
Chronic Abdominal Pain

scholarly journals Erratum: Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain. J Shaheed Suhrawardy Med Coll Vol. 10 No. 1, June 2018 Page - 59-61

2019 ◽  
Vol 10 (2) ◽  
pp. 83-85
Author(s):  
Khairun Nahar ◽  
SM Amjad Hossain ◽  
Ashia Khatun
Keyword(s):  
Abdominal Pain ◽  
Female Patient ◽  
Lower Abdominal Pain ◽  
Clinical Feature ◽  
Pathology Report ◽  
Repeated Treatment ◽  
Diagnostic Dilemma ◽  
Chronic Appendicitis ◽  
Female Patients

Erratum: Chronic Appendicitis: Diagnostic Dilemma in Female Patient for Recurrent Lower Abdominal Pain J Shaheed Suhrawardy Med Coll Vol. 10 No. 1, June 2018 Page - 59-61 The author of this article brought attention to publishers that this is an original article an previous issue Vol. 10 No. 1, June 2018 Page - 59-61 it was published as a Case report. These error have been corrected to enhance credibility to readers and the article has been published in this issue of J Shaheed Suhrawardy Med Coll --------------------------------------------------------------------------------------------------------------------------------------------------------- Background: Many female patients presented to gynecologist with chronic lower abdominal pain, suspecting chronic PID or UTI, but found no improvement inspite of repeated treatment. It remains as diagnostic dilemma for gynaecologist. Proper diagnosis ultimately shows that it is a case of chronic appendicitis. The main purpose of this study was to evaluate the clinical feature of chronic appendicitis and its correlation with operative and histological findings & to create alertness of physicians and prevention of later complication. Methods: This cross-sectional study was carried out in female patients in private practice from January 2014 to December 2017.All patientswho complained frequent attacks of pain in their right lower abdomen were included in our study. The patient’s history, clinical and lab findings were closely evaluated. All the patients underwent appendectomy and all their appendices were histopathologically examined. Chronic appendicitis was ruled in with a positive pathology report confirming chronic inflammation. All the patients referred for their follow-up visits in a period of one year. Results: A total100 female patients were studied.66% patient were in age group 26 to35 years.87% patients were multiparous. Duration of pain varied from 2weeks to 2.5 years. Histopathology report confirmed chronic appendicitis in 96% cases. From them 94% cases expressed complete relief of pain following removal in the follow-up visit. Conclusion: Chronic appendicitis seems to be a cause of recurrent lower abdominal pain. The disease is easily cured by appendectomy. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 83-85

scholarly journals The role of endoscopy in childhood chronic abdominal pain

2007 ◽  
Vol 27 (1) ◽  
pp. 51
Author(s):  
Mohammad El Mouzan ◽  
Asaad Assiri
Keyword(s):  
Abdominal Pain ◽  
Chronic Abdominal Pain
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