Unravelling Acute Abdomen ? A Clinical Study

INTRODUCTION Acute abdomen means, the patient complains of acute onset abdominal symptoms that suggest a disease, which definitely or possibly threatens life and may or may not demand immediate operative interference. The diagnosis and management of acute abdomen forms a large part of routine duties of a general surgeon throughout his career. The aim of the research is To study the proportion of occurrence of various causes of non traumatic acute abdomen in KIMS Hospital and Research Centre, Bangalore with respect to age, sex. To study the clinical features of various causes of non traumatic acute abdomen patients. To know the proportions of success of the treatment after surgery for different causes. METHODS The study was conducted in KIMS. Hospital and Research Centre, Bangalore from January 2014 to July 2014.100 cases have been studied. Those acute cases, who underwent surgery have been only included in this study because of a correct diagnosis could be established. Acute abdomen of traumatic origin was not included in this study. Pre-operative history of all acute abdominal emergencies has been taken to arrive at pre-operative diagnosis. In all the cases, operative findings and post-operative diagnosis were recorded. To arrive conclusion of 100 cases which have been studied. RESULTS Acute abdomen was more common in 2nd, 3rd, and 4th decade of life and in males. Acute appendicitis forms the commonest cause of acute abdomen. Hollow viscus perforation being the 2nd and intestinal obstruction forms the 3rd commonest cause of acute abdomen. CONCLUSION In our study acute abdomen was found more commonly 2nd to 4th decade of life with male female 6931. Most common presenting symptom was pain abdomen. The commonest cause being acute appendicitis. Commonest position of appendix was retrocaecal and pathological type was non-perforated inflamed appendix, for which emergency appendectomy was done and mortality was nil. Hollow viscous perforation 2nd commonest and intestinal obstruction was 3rd commonest cause of acute abdomen