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Acute abdomen in the emergency department: the emergency surgeon contribute "old is the new approach"

  • Carlos Macedo-Oliveira1,*,
  • Márcia Carvalho1
  • Luís Madureira1
  • Nuno Muralha1

1Department of General Surgery, Centro Hospitalar do Médio Ave, 4780-371 Santo Tirso, Portugal

DOI: 10.22514/sv.2023.006 Vol.19,Issue 4,July 2023 pp.37-42

Submitted: 13 May 2022 Accepted: 06 July 2022

Published: 08 July 2023

*Corresponding Author(s): Carlos Macedo-Oliveira E-mail: carlosmacedoliveira@gmail.com

Abstract

Acute abdominal pain is the most frequent complaint evaluated by the emergency surgeon. The frequency of this presentation and the multitude of diagnoses and severity of cases reinforce the importance of a methodic clinical approach and knowledge of the causes of acute abdomen. In this article, we intend to review the process of diagnosing an acute abdomen and remind the medical community the importance of an accurate history and physical examination in this process.


Keywords

Acute abdomen; Anamnesis; Physical examination; Emergency surgery


Cite and Share

Carlos Macedo-Oliveira,Márcia Carvalho,Luís Madureira,Nuno Muralha. Acute abdomen in the emergency department: the emergency surgeon contribute "old is the new approach". Signa Vitae. 2023. 19(4);37-42.

References

[1] 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 5,340 cases. Annals of Translational Medicine. 2016; 4: 362–362.

[2] Mayumi T, Yoshida M, Tazuma S, Furukawa A, Nishii O, Shigematsu K, et al. The practice guidelines for primary care of acute abdomen 2015. Japanese Journal of Radiology. 2016; 34: 80–115.

[3] Macaluso C, McNamara. Evaluation and management of acute abdominal pain in the emergency department. International Journal of General Medicine. 2012; 5: 789–797.

[4] Bhatia A, Shatanof RA, Bordoni B. Embryology, Gastrointestinal. StatPearls: Treasure Island (FL). 2022.

[5] Chipidza FE, Wallwork RS, Stern TA. Impact of the doctor-patient relationship. The Primary Care Companion for CNS Disorders. 2015; 17: 27354.

[6] Magidson PD, Martinez JP. Abdominal pain in the geriatric patient. Emergency Medicine Clinics of North America. 2016; 34: 559–574.

[7] Manterola C, Vial M, Moraga J, Astudillo P. Analgesia in patients with acute abdominal pain. Cochrane Database of Systematic Reviews. 2011; CD005660.

[8] Falch C, Vicente D, Häberle H, Kirschniak A, Müller S, Nissan A, et al. Treatment of acute abdominal pain in the emergency room: a systematic review of the literature. European Journal of Pain. 2014; 18: 902–913.

[9] DiLeo Thomas L, Henn MC. Perfecting the gastrointestinal physical exam. Emergency Medicine Clinics of North America. 2021; 39: 689–702.

[10] Grundmann R, Petersen M, Lippert H, Meyer F. The acute (surgical) abdomen—epidemiology, diagnosis and general principles of management. Z Gastroenterol. 2010; 48: 696–706. (In German)

[11] Mehta H. Abdominal pain. Clinical Pathways in Emergency Medicine. 2016; 5: 329–345.

[12] Bailey I. The acute abdomen. Medicine. 2021; 49: 103–105.

[13] Drake A, Franklin N, Schrock JW, Jones RA. Auscultation of bowel sounds and ultrasound of peristalsis are neither compartmentalized nor correlated. Cureus. 2021; 13: e14982.

[14] Gans SL, Pols MA, Stoker J, Boermeester MA. Guideline for the diagnostic pathway in patients with acute abdominal pain. Digestive Surgery. 2015; 32: 23–31.

[15] Leppäniemi A, Tolonen M, Tarasconi A, Segovia-Lohse H, Gamberini E, Kirkpatrick AW, et al. 2019 WSES guidelines for the management of severe acute pancreatitis. World Journal of Emergency Surgery. 2019; 14: 27.

[16] Boermeester MA, Gans SL, Stoker J, Boermeester MA. Plain abdominal radiography in acute abdominal pain; past, present, and future. International Journal of General Medicine. 2012; 5: 525–533.

[17] Lameris W, van Randen A, van Es HW, van Heesewijk JPM, van Ramshorst B, Bouma WH, et al. Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. British Medical Journal. 2009; 338: b2431–b2431.

[18] Geng WZM, Fuller M, Osborne B, Thoirs K. The value of the erect abdominal radiograph for the diagnosis of mechanical bowel obstruction and paralytic ileus in adults presenting with acute abdominal pain. Journal of Medical Radiation Sciences. 2018; 65: 259–266.

[19] Marasco G, Verardi FM, Eusebi LH, Guarino S, Romiti A, Vestito A, et al. Diagnostic imaging for acute abdominal pain in an emergency department in Italy. Internal and Emergency Medicine. 2019; 14: 1147–1153.

[20] Geng WZM, Fuller M, Osborne B, Thoirs K. The value of the erect abdominal radiograph for the diagnosis of mechanical bowel obstruction and paralytic ileus in adults presenting with acute abdominal pain. Journal of Medical Radiation Sciences. 2018; 65: 259–266.

[21] Al Ali M, Jabbour S, Alrajaby S. ACUTE ABDOMEN systemic sonographic approach to acute abdomen in emergency department: a case series. The Ultrasound Journal. 2019; 11: 22.

[22] Lindelius A, Torngren S, Pettersson H, Adami J. Role of surgeon-performed ultrasound on further management of patients with acute abdominal pain: a randomised controlled clinical trial. Emergency Medicine Journal. 2009; 26: 561–566.

[23] Allemann F, Cassina P, Röthlin M, Largiadèr F. Ultrasound scans done by surgeons for patients with acute abdominal pain: a prospective study. The European Journal of Surgery. 1999; 165: 966–970.

[24] Mazzei M, Guerrini S, Cioffi Squitieri N, Cagini L, Macarini L, Coppolino F, et al. The role of us examination in the management of acute abdomen. Critical Ultrasound Journal. 2013; 5: S6.

[25] Abdolrazaghnejad A, Rajabpour-Sanati A, Rastegari-Najafabadi H, Ziaei M, Pakniyat A. The role of ultrasonography in patients referring to the emergency department with acute abdominal pain. Advanced Journal of Emergency Medicine. 2019; 3: e43.

[26] Othman AE, Bongers MN, Zinsser D, Schabel C, Wichmann JL, Arshid R, et al. Evaluation of reduced-dose CT for acute non-traumatic abdominal pain: evaluation of diagnostic accuracy in comparison to standard-dose CT. Acta Radiologica. 2018; 59: 4–12.

[27] Poletti P, Becker M, Becker CD, Halfon Poletti A, Rutschmann OT, Zaidi H, et al. Emergency assessment of patients with acute abdominal pain using low-dose CT with iterative reconstruction: a comparative study. European Radiology. 2017; 27: 3300–3309.

[28] Gardner CS, Jaffe TA, Nelson RC. Impact of CT in elderly patients presenting to the emergency department with acute abdominal pain. Abdominal Imaging. 2015; 40: 2877–2882.

[29] Afzal B, Changazi SH, Hyidar Z, Siddique S, Rehman A, Bhatti S, et al. Role of laparoscopy in diagnosing and treating acute nonspecific abdominal pain. Cureus. 2021; 13: e18741.

[30] Navez B, Navez J. Laparoscopy in the acute abdomen. Best Practice & Research Clinical Gastroenterology. 2014; 28: 3–17.


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