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Acute Abdomen in Al-Kindy Teaching Hospital

Author: Dr. Mohammed salih A. Ali M.B.Ch.B. C.A.B.S.
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2012 Volume: 8 Issue: 1 Pages: 46-53
Publisher: Baghdad University جامعة بغداد

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Abstract

Objective; Is to study and analysis the pattern of the non-traumatic acute abdomen cases that received by causality department of Al-Kindy Teaching Hospital in one year and to see the causes of acute abdomen and to compare it to other studies.Method: This prospective study was done for all cases of non-traumatic acute abdomen (370 patients) which were admitted to the causality department of Al-kindy Teaching Hospital from 1 march 2010 to 28 February 2011, clinical history and physical examination and resuscitation were done for all patients. WBC, GUE, plain abdomen were also done for all patients, and US was done for highly indicated cases, surgical operations done for patients indicated and reminder treated conservatively.Result;370 patients received in the causality department, the ratio of male to female is 1.23:1.Common age group involved is 11-20years (34%), followed by age group 21-30 years ( 28%), it occur least at old age group ≥ 60years (1.6%) . 45.5% patients presented after 24 hours from onset of pain.60.37% of patients have generalized abdominal pain and 60% of patients complain of vomiting. And only 57% of patients have WBC more than 10x109/L.Clinical preoperative diagnosis was acute appendicitis in 68.6% of patients, perforated viscous in 12.6%, acute cholcystitis 3.78%, peritonitis without clear cause 2.7%, renal disease 4.32%, non-specific disease group 5.9%, and 8 patients as case of intestinal obstruction.The final result was suppurative acute appendicitis 54.6%, Ruptured appendix 5.94%, Perforated DU 8.64%, perforated typhoid 5.67%, UTI 4.32% and non specific infection 10.8%The post operative complications not differ from other centers.Conclusion : The non-traumatic acute abdomen is one of the most common surgical condition, and acute appendix is the most common cause of acute abdomen and most of patient presented after 24hours after onset of symptom.Key worlds; - non-traumatic acute abdomen, -acute abdomen, - abdominal pain analysis.

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