Clinical Profile and Management of Acute Abdomen in a Tertiary Care Hospital
Background: The term acute abdomen refers to signs and symptoms of abdominal pain and tenderness, a clinical presentation that often requires emergency surgical therapy. This challenging clinical scenario requires a thorough and expeditious workup to determine the need for operative intervention and to initiate appropriate therapy.
Materials and Methods: One hundred and twenty adult patients (70 males and 50 females) were studied during the period from January 2016 to January 2017. Patients were subjected to detailed history, symptoms, and thorough physical examination. Patients underwent all necessary investigations. Relevant procedures, like four-quadrant aspirations, were carried out in some cases. In all operative cases, operative findings and post-operative diagnosis were recorded. The final outcome was evaluated.
Results: In the study among 120 cases, 45 (37.5%) were diagnosed to be acute appendicitis followed by acute intestinal obstruction 25 (16.66%) cases. The age-wise classification was middle-age population between 31–50 years suffered more acute abdomen than the other age groups.
Conclusion: Acute abdomen is often a surgical emergency and a challenge to any surgeon. Usual age incidence is in the third and fourth decades, forming the majority of the total cases analyzed. Acute abdomen is more common in males. The most common cause of acute abdomen is acute appendicitis. The second common cause of acute abdomen is a hollow viscous perforation, and mortality is high in these cases due to ARDS and MODS