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Nonspecific abdominal pain: Do I have to allocate a specific diagnosis for every patient?

  • Ozgur Karcioglu1,*,

1Department of Emergency Medicine, University of Health Sciences, Istanbul Education and Research Hospital, 34098 Istanbul, Turkey

DOI: 10.22514/sv.2022.005 Vol.18,Issue 4,July 2022 pp.1-4

Submitted: 07 October 2021 Accepted: 14 December 2021

Published: 08 July 2022

*Corresponding Author(s): Ozgur Karcioglu E-mail: okarcioglu@gmail.com

Abstract

Acute abdominal pain is one of the most common chief complaints in the acute setting all over the world. The definitive diagnoses of these patients vary depending on age, gender, geographical and sociodemographic characteristics etc. Apart from these, aging of the population, obesity, advanced diagnostic imaging modalities and changes in nutritional habits also have an impact on the rates of specific diagnoses. On the other hand, nonspecific abdominal pain constitutes almost half of all visits due to acute abdominal pain in the acute care setting. This phenomenon is the main differential diagnostic problem in the management of these patients because missing a life-threatening condition can cause enormous medicolegal problems for the caregivers. Certain diagnostic scoring systems have also been developed to facilitate recognition and management of these conditions. This article aims to review the entity and underline the challenges it can bring to the scene.


Keywords

Abdominal pain; Nonspecific abdominal pain; Diagnosis; Differential diagnosis; Radiological evaluation; Diagnostic score


Cite and Share

Ozgur Karcioglu. Nonspecific abdominal pain: Do I have to allocate a specific diagnosis for every patient?. Signa Vitae. 2022. 18(4);1-4.

References

[1] Hastings RS, Powers RD. Abdominal pain in the ED: a 35 year retrospective. the American Journal of Emergency Medicine. 2011; 29: 711–716.

[2] Saaristo L, Ukkonen MT, Laukkarinen JM, Pauniaho SK. The rate of short-term revisits after diagnosis of non-specific abdominal pain is similar for surgeons and emergency physicians—results from a single tertiary hospital emergency department. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2020; 28: 63.

[3] Cervellin G, Mora R, Ticinesi A, Meschi T, Comelli I, Catena F, et al. Epidemiology and outcomes of acute abdominal pain in a large urban Emergency Department: retrospective analysis of 5340 cases. Annals of Translational Medicine. 2016; 4: 362–362.

[4] Fagerström A, Paajanen P, Saarelainen H, Ahonen-Siirtola M, Ukkonen M, Miettinen P, et al. Non-specific abdominal pain remains as the most common reason for acute abdomen: 26-year retrospective audit in one emergency unit. Scandinavian Journal of Gastroenterology. 2017; 52: 1072–1077.

[5] Velissaris D, Karanikolas M, Pantzaris N, Kipourgos G, Bampalis V, Karanikola K, et al. Acute abdominal pain assessment in the emergency department: the experience of a Greek university hospital. Journal of Clinical Medicine Research. 2017; 9: 987–993.

[6] Woolf CJ, Bennett GJ, Doherty M, Dubner R, Kidd B, Koltzenburg M, et al. Towards a mechanism-based classification of pain? Pain. 1998; 77: 227–229.

[7] Lukens TW, Emerman C, Effron D. The natural history and clinical findings in undifferentiated abdominal pain. Annals of Emergency Medicine. 1993; 22: 690–696.

[8] Koyuncu N, Karcioglu O, Sener S. Nonspecific abdominal pain: a follow-up survey. Nigerian Journal of Clinical Practice. 2018; 21: 332–336.

[9] Gallagher EJ. Gastrointestinal emergencies: acute abdominal pain. In Tintinalli, J.E., Kelen, G.D., Stapczynski, J.S. (eds.) Emergency Medicine: A Comprehensive Study Guide (pp. 487–508). 6th edn. North Carolina: McGraw‑Hill. 2004.

[10] Fu J, Zhou X, Chen L, Lu S. Abdominal ultrasound and its diagnostic accuracy in diagnosing acute appendicitis: a meta-analysis. Frontiers in Surgery. 2021; 8: 707160.

[11] Eskelinen M, Meklin J, Syrjänen K, Eskelinen M. A Diagnostic Score (DS) is a powerful tool in diagnosis of acute appendicitis in elderly patients with acute abdominal pain. Anticancer Research. 2021; 41: 1459–1469.

[12] Eskelinen M, Meklin J, Selander T, Syrjänen K, Eskelinen M. A Diagnostic Score (DS) in the difficult diagnosis of Non-specific Abdominal Pain (NSAP). In Vivo. 2021; 35: 2729–2738.


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