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[Acute abdomen: consider also the thorax].

M M van der Eerden1, H E Codrington, C S de Graaff

  • 1Medisch Centrum Alkmaar, afd. Longziekten, Alkmaar.

Nederlands Tijdschrift Voor Geneeskunde
|March 9, 2000
PubMed
Summary

Pneumonia can mimic acute abdominal pain, leading to unnecessary surgeries. Early chest X-rays are crucial for diagnosing pneumonia presenting with abdominal symptoms, ensuring prompt antibiotic treatment and patient recovery.

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Area of Science:

  • Internal Medicine
  • Radiology
  • Pulmonology

Background:

  • Acute abdominal symptoms can present diagnostic challenges.
  • Pneumonia is an infectious disease affecting the lungs.

Observation:

  • Three patients (2 men, 1 woman) presented with acute abdomen symptoms.
  • Radiodiagnostic images showed infiltrative signs in two patients.
  • Two patients underwent exploratory laparotomies.

Findings:

  • All three patients were ultimately diagnosed with pneumonia.
  • Full recovery was achieved for all patients after antibiotic therapy.

Implications:

  • Pneumonia should be considered in the differential diagnosis of acute abdomen.
  • Routine chest radiography (frontal and lateral views) is recommended for patients with acute abdominal symptoms.
  • Considering pneumonia can prevent unnecessary surgical interventions like laparotomy.

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