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Volume 6 Issue 10 (October, 2018)

Case Reports

Acute Abdomen – A Clinical cross-sectional study of six consecutively operated cases
G.P. Navaneethan, T.Thivagar, Sathiya Jeeva Jeevakarunyam

Background and objectives: Acute abdomen is one of the commonest problems in surgical practice. The abdomen Pandora’s magic box demands the good clinical examination diagnosis and treatment. The present study attempted to evaluate various modes of clinical presentation of acute abdomen, their surgical management and post operative complications in our center. Methods: The present study included 60 cases of acute abdomen due to non traumatic/ non-gynecological causes, after thorough clinical examination and investigations. They were subjected for laparotomy and treated accordingly, each case was analyzed for postoperative complications like wound infection, respiratory infection, fecal fistula, septicaemia, and mortality. They were following for periodof 6 months for incisional hernia and intestinal abstraction. Results: In our study acute abdomen was common in age group of 30-40 yrs with male preponderance (M:F,4:1). Duodenal ulcer preparation is the commonest cause of acute abdomen. Clinical accuracy of diagnosis was upto 90%. When compared with the intraoperative findings, wound infection is the major post operative complications affecting 11 cases (18.33), mortality was seen in 5 cases. Interpretation and conclusion : The early presentation, early diagnosis, accurate investigation, early appropriate surgical intervention, reduces the morbidity and mortality in acute abdomen. Key words: Acute abdomen; duodenal ulcer perforation; laparotomy; wound infections; morbidity and mortality.

 
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