The value of C-reactive protein and lactate in the acute abdomen in the emergency department
<p>Abstract</p> <p>Case presentation</p> <p>This report describes the presentation of three critically ill patients with non-traumatic acute abdominal pain and increased concentrations of the biomarkers C-reactive protein (CRP) and lactate. In these three patients an ex...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-07-01
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| Series: | World Journal of Emergency Surgery |
| Subjects: | |
| Online Access: | http://www.wjes.org/content/7/1/22 |
| _version_ | 1818524224577339392 |
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| author | Meyer Zainna C Schreinemakers Jennifer MJ van der Laan Lijckle |
| author_facet | Meyer Zainna C Schreinemakers Jennifer MJ van der Laan Lijckle |
| author_sort | Meyer Zainna C |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Case presentation</p> <p>This report describes the presentation of three critically ill patients with non-traumatic acute abdominal pain and increased concentrations of the biomarkers C-reactive protein (CRP) and lactate. In these three patients an exploratory laparotomy was carried out. Remarkably, the laparotomy showed no intra-abdominal abnormalities. We discuss the usefulness of these biomarkers in practice and their influence on establishing a diagnose and making a decision to perform an intervention.</p> <p>Conclusion</p> <p>We conclude that biomarkers lactate and CRP in patients with acute abdominal pain should only be used in adjunct to the history and clinical findings, as they are not specific and can be misleading in establishing a diagnosis. In addition, relying on these biomarkers may contribute to more diagnostic examinations and/or unnecessary invasive interventions (for example laparotomy).</p> |
| first_indexed | 2024-12-11T05:54:28Z |
| format | Article |
| id | doaj.art-6b2f19f9f7434e5b91f0d661be8b35ad |
| institution | Directory Open Access Journal |
| issn | 1749-7922 |
| language | English |
| last_indexed | 2024-12-11T05:54:28Z |
| publishDate | 2012-07-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Emergency Surgery |
| spelling | doaj.art-6b2f19f9f7434e5b91f0d661be8b35ad2022-12-22T01:18:42ZengBMCWorld Journal of Emergency Surgery1749-79222012-07-01712210.1186/1749-7922-7-22The value of C-reactive protein and lactate in the acute abdomen in the emergency departmentMeyer Zainna CSchreinemakers Jennifer MJvan der Laan Lijckle<p>Abstract</p> <p>Case presentation</p> <p>This report describes the presentation of three critically ill patients with non-traumatic acute abdominal pain and increased concentrations of the biomarkers C-reactive protein (CRP) and lactate. In these three patients an exploratory laparotomy was carried out. Remarkably, the laparotomy showed no intra-abdominal abnormalities. We discuss the usefulness of these biomarkers in practice and their influence on establishing a diagnose and making a decision to perform an intervention.</p> <p>Conclusion</p> <p>We conclude that biomarkers lactate and CRP in patients with acute abdominal pain should only be used in adjunct to the history and clinical findings, as they are not specific and can be misleading in establishing a diagnosis. In addition, relying on these biomarkers may contribute to more diagnostic examinations and/or unnecessary invasive interventions (for example laparotomy).</p>http://www.wjes.org/content/7/1/22Acute abdomenC-reactive proteinLactate |
| spellingShingle | Meyer Zainna C Schreinemakers Jennifer MJ van der Laan Lijckle The value of C-reactive protein and lactate in the acute abdomen in the emergency department World Journal of Emergency Surgery Acute abdomen C-reactive protein Lactate |
| title | The value of C-reactive protein and lactate in the acute abdomen in the emergency department |
| title_full | The value of C-reactive protein and lactate in the acute abdomen in the emergency department |
| title_fullStr | The value of C-reactive protein and lactate in the acute abdomen in the emergency department |
| title_full_unstemmed | The value of C-reactive protein and lactate in the acute abdomen in the emergency department |
| title_short | The value of C-reactive protein and lactate in the acute abdomen in the emergency department |
| title_sort | value of c reactive protein and lactate in the acute abdomen in the emergency department |
| topic | Acute abdomen C-reactive protein Lactate |
| url | http://www.wjes.org/content/7/1/22 |
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