Related Experiment Video
Updated: Jul 13, 2026
03:42
Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
Published on: March 15, 2024
[Acute abdomen: experience with 196 consecutive cases]
Piero Covarelli1, Roberto Cristofani, Claudia Bussotti
1SC di Chirurgia Generale e Oncologica, Dipartimento di Scienze Chirurgiche, Radiologiclhe, Odontotonstomatologiche Università degli Studi di Perugia.
Chirurgia Italiana
|August 1, 2007
Summary
Emergency room admissions for acute abdomen require careful diagnosis. Combining clinical evaluation with imaging like ultrasonography and CT scans improves accuracy, reducing unnecessary surgeries and treatment delays.
Area of Science:
- Emergency medicine
- Diagnostic imaging
- Surgical emergencies
Context:
- Non-traumatic acute abdomen represents a significant portion of emergency admissions.
- Accurate and timely diagnosis is crucial for effective patient management.
Purpose:
- To analyze demographic data, diagnostic procedures, treatments, and diagnostic accuracy for acute abdomen emergencies.
- To evaluate the role of clinical assessment and imaging in managing acute abdomen.
Summary:
- 196 emergency admissions for acute abdomen were reviewed.
- Laboratory tests and ultrasonography were common diagnostic tools; CT scans were used less frequently.
- 35.7% of patients underwent surgery; acute appendicitis was the most common diagnosis.
- 31.1% were treated conservatively, and 33.2% were false acute abdomen diagnoses.
Impact:
- Emphasizes the need for thorough clinical history and physical examination in acute abdomen diagnosis.
- Highlights the utility of imaging modalities (X-ray, ultrasound, CT) in preventing unnecessary surgeries and treatment delays.
Related Concept Videos
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:25Assessment of the Abdomen I: Inspection and Auscultation
Introduction
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
The first step in any abdominal examination is inspection.
01:30Acute Pancreatitis II: Clinical Manifestations and Management
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:25Acute Pancreatitis I: Introduction
Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...