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Abnormal Ultrasonographic Findings among Referred Patients with Pain Abdomen in the Radiology Department of a

Smriti Mulmi1, Marina Vaidya Shrestha2, Sanjeev Pradhan1

  • 1Department of Radiology, Nobel Medical College and Teaching Hospital, Biratnagar, Morang, Nepal.

JNMA; Journal of the Nepal Medical Association
|February 24, 2022
PubMed

Insights

Ultrasonography revealed abnormal findings in 67.6% of patients with abdominal pain. Combining clinical evaluation with abdominal ultrasound improves diagnostic accuracy for pain abdomen.

Area of Science:

  • Radiology
  • Medical Diagnostics

Background:

  • Accurate diagnosis is crucial for patient management.
  • Pediatric patients often present challenges in history-taking for abdominal pain.
  • This study investigated the prevalence of abnormal ultrasonographic findings in patients with abdominal pain at a tertiary care center in Nepal.

Purpose of the Study:

  • To determine the prevalence of abnormal ultrasonographic findings in patients presenting with abdominal pain.
  • To assess the utility of abdominal ultrasound in diagnosing the cause of abdominal pain.

Main Methods:

  • A descriptive cross-sectional study was conducted.
  • Data were collected from patients with abdominal pain in outpatient and emergency departments.
  • Abdominal ultrasound findings were analyzed, with statistical analysis performed using SPSS version 20.

Main Results:

  • Out of 250 patients, 169 (67.6%) showed abnormal ultrasonographic findings.
  • The mean age of patients was 39.4±17.9 years.
  • Abdominal ultrasound diagnosis agreed with initial clinical diagnosis in only 22.8% of cases, highlighting discrepancies.

Conclusions:

  • Abnormalities are common in patients with abdominal pain as detected by ultrasound.
  • Integrating clinical evaluation with abdominal ultrasound enhances diagnostic accuracy.
  • Abdominal ultrasound is a valuable tool for diagnosing abdominal pain.
Abstract

Keywords:
abdomen; pain; patients; radiology; ultrasonography.

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