A study of correlation between preoperative provisional diagnosis and intra operative findings in the patients with non traumatic acute abdominal pain
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 21, Issue 1
Abstract
Introduction: Abdominal pain is one of the most common reasons for an emergency department (ED) visit, accounting to about 5% to 10% of all ED visits. Aims and Objectives: To Study Correlation between Preoperative Provisional Diagnosis and Intra Operative Findings in the Patients with Non Traumatic Acute Abdominal Pain. Material and Methods: After approval form the Institutional ethical committee a records based, cross-sectional study was carried out in the Department of General Surgery at tertiary health care center during one-year period June 2014-June 2015. All details about clinical history, Clinical diagnosis, Ultrasongraphic findings, CT-Scan findings and Intraoperative findings was extracted from the case records. There were 100 patients were included into the study. 62 pt managed operatively and 38 patients managed conservatively. Result: The majority of the Patients were from the age group of 30-40 i.e. 33%. The majority of the patients were Males i.e. 56% and Females were 44% As per Preoperative Provisional Diagnosis the most common diagnosis found was Acute appendicitis in 44% followed by; Urolithiasis in 14%, Gastritis in 13%, Hollow viscus perforation in 12%, Intestinal obstruction in 06%, Acute cholecystitis in 6%, Acute Pancreatitis in 5%. As per Intraoperative findings in patients with preoperative provisional diagnosis of acute Appendicitis intra op finding was inflamed appendicitis in 63.46% followed by Perforated appendicitis in 20.46%, Gangrenous appendicitis in 13.64%, Normal appendicitis in 2.27%. For preoperative diagnosis in 12 patients as Hollow viscus perforation incidence of Duodenal perforation 58.4% followed by Gastric perforation in 33.3%, Ileal perforation in 8.3% . For total 6 patients as preoperative provisional diagnosis as intestinal obstruction the intraop finding were Postoperative adhesive band 50.1%, Sigmoid volvulus 16.7%, Superior mesenteric artery thrombus 16.7%, Obstructed hernia 16.7.The compatibility of intraoperative findings was highest with USG Diagnosis i.e. 89.00% followed by CT-Scan was 81% and of the Clinical diagnosis was 59%. Conclusion: As per Preoperative Provisional Diagnosis the most common diagnosis found was Acute appendicitis in followed by Urolithiasis, Gastritis, Hollow viscus perforation, Intestinal obstruction, Acute cholecystitis, Acute Pancreatitis etc . The compatibility of intraoperative findings was highest with USG Diagnosis i.e. 89.00% followed by CT-Scan was 81% and of the Clinical diagnosis was 59%.
Authors and Affiliations
Anil Shriram Mundhe, Tushar S Agrawal
Keywords
Related Articles
- EP ID EP495199
- DOI -
- Views 107
- Downloads 0
Significance of glycemic status in patients of major depressive disorder with suicidal behaviour
Background: Suicidal ideation is common in major depressive disorder, and it is thought to be a strong contributing factor for completed or attempted suicide. Hyperglycemia and hyperinsulinemia may increase the risk of d...
The effect of levothyroxine substitution on lipid profile parameters in patients of subclinical hypothyroidism in tertiary care centre of kumaon region
Introduction- Subclinical hypothyroidism (SCH) also called as mild thyroid failure is defined as the presence of serum thyroid stimulating hormone (TSH) above the statistically defined upper limit of the reference range,...
An observational study to evaluate direct obstetric causes of maternal mortality at a tertiary care centre in Mumbai, Maharashtra
Background: To evaluate direct obstetric causes of maternal mortality at a tertiary care centre in Mumbai, Maharashtra Methods: A total of 206 cases of maternal deaths due to direct obstetric causes from January 2011 to...
Investigation of a Hepatitis A outbreak in Panachkkad PHC area of Kottayam district Kerala by case control design
Background: Viral Hepatitis (HAV) continues to be a major public health problem in India and is hyper-endemic for HAV infection. Early investigation of an epidemic of Hepatitis A will go a long way in containing the epid...
Knowledge, Attitude and Belief regarding Cervical Cancer and its Prevention in Women attending Gynaecology OPD in a Tertiary Rural Teaching Hospital in South India
Background: Cervical Cancer is a cause of significant disease worldwide. Human papiloma virus (HPV) is the cause of Cancer cervix in 100% cases. Effective intervention to prevent HPV associated diseases can therefore pre...