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A new insight into non-specific abdominal pain
David S Sanders1, Iman A F Azmy, David P Hurlstone
1Department of General Surgery, Royal Hallamshire Hospital, Sheffield, UK. d.s.sanders28@btopenworld.com
Annals of the Royal College of Surgeons of England
|March 23, 2006
Summary
Unrecognized celiac disease can cause acute abdominal pain. Clinicians should consider celiac disease in patients with non-specific abdominal pain or related symptoms to improve diagnosis.
Area of Science:
- Gastroenterology
- Internal Medicine
- Clinical Practice
Background:
- Celiac disease is an autoimmune disorder triggered by gluten ingestion.
- Diagnosis is often delayed, leading to potential complications.
- Acute abdominal pain is not a commonly recognized presentation.
Purpose of the Study:
- To highlight the potential for acute abdominal pain as a presentation of undiagnosed celiac disease.
- To encourage clinicians to consider celiac disease in differential diagnoses for abdominal pain.
- To improve diagnostic rates through broader clinical suspicion.
Main Methods:
- Literature review of case reports and clinical studies.
- Analysis of patient cohorts presenting with acute abdominal pain.
- Synthesis of evidence linking celiac disease to acute abdominal presentations.
Main Results:
- Unrecognized celiac disease can manifest acutely with abdominal pain.
- Patients with non-specific abdominal pain may have undiagnosed celiac disease.
- Coeliac-associated symptoms or diseases can be indicators.
Conclusions:
- Clinicians should broaden their diagnostic considerations for acute abdominal pain to include celiac disease.
- Early consideration of celiac disease can lead to timely diagnosis and management.
- Targeting specific patient groups may enhance diagnostic yield.