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Related Experiment Videos

Abdominal emergencies.

A D Turnbull

    Current Problems in Cancer
    |October 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Abdominal emergencies in cancer patients require a high index of suspicion for both intra-abdominal and extra-abdominal causes. Prompt surgical exploration is critical, balancing risks in immunocompromised patients against the lethality of undiagnosed conditions.

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    Area of Science:

    • Surgery
    • Oncology
    • Gastroenterology

    Background:

    • Abdominal emergencies present diverse challenges, particularly in cancer patients.
    • Cancer patients may experience acute abdominal distress from various causes, including extra-abdominal conditions and complications of treatment.
    • Differentiating between benign and emergent conditions is crucial for timely intervention.

    Purpose of the Study:

    • To review the multiplicity of abdominal emergencies encountered in surgical practice.
    • To emphasize the need for a high index of suspicion and an optimistic approach to managing these conditions.
    • To highlight specific considerations for cancer patients undergoing chemotherapy.

    Main Methods:

    • Review of clinical scenarios and diagnostic considerations for acute abdominal conditions.

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  • Discussion of differential diagnoses, including extra-abdominal causes in cancer patients.
  • Emphasis on serial examinations and monitoring for subtle changes in critically ill patients.

    • Main Results:

    • Cancer patients are susceptible to a wide range of abdominal emergencies, including those unrelated to their malignancy.
    • Marrow-suppressing chemotherapy complicates diagnosis and management, necessitating frequent reassessment.
    • Key indicators for surgical exploration include hypovolemia, sepsis, confusion, and metabolic acidosis.

    Conclusions:

    • A high index of suspicion is paramount for diagnosing abdominal emergencies in all patients, especially those with cancer.
    • While surgical intervention in immunocompromised patients carries risks, delaying necessary surgery for conditions like occult abscesses or bowel perforation is often fatal.
    • Treatment decisions should consider the potential for response to further therapy for the underlying disease, guiding the balance between intervention and conservatism.