Comparative study between clinical diagnosis, plain radiography and sonography for the diagnosis of nontraumatic acute abdomen

Background: Acute abdomen is the most commonly attended surgical emergency. It can be caused by intra-abdominal, extra-abdominal and metabolic causes. A few imaging modalities are at disposal of primary care physicians like plain x-ray and ultrasonography. Materials and Methods: This study has been...

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Main Authors: Pradeep Sharma, Rajan Sood, Mukul Sharma, Arun K Gupta, Arun Chauhan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=12;spage=7686;epage=7690;aulast=Sharma
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author Pradeep Sharma
Rajan Sood
Mukul Sharma
Arun K Gupta
Arun Chauhan
author_facet Pradeep Sharma
Rajan Sood
Mukul Sharma
Arun K Gupta
Arun Chauhan
author_sort Pradeep Sharma
collection DOAJ
description Background: Acute abdomen is the most commonly attended surgical emergency. It can be caused by intra-abdominal, extra-abdominal and metabolic causes. A few imaging modalities are at disposal of primary care physicians like plain x-ray and ultrasonography. Materials and Methods: This study has been done to compare the efficacy of clinical diagnosis, plain radiography and sonography in diagnosis of non-traumatic acute abdomen. Every patient under study admitted in the Department of General Surgery underwent thorough clinical evaluation, biochemical investigations, X-rays and sonography. Findings of clinical evaluation, X-Rays and sonography were compared to the final diagnosis found intraoperatively. Results: Clinical diagnosis was made in 47 (94%) out of 50 patients. X-rays were able to diagnose in 20 patients (40%) whereas sonography diagnosed 26 patients (52%). Conclusion: The present study showed that clinical evaluation, x-rays or Ultrasound alone are not sufficient to diagnose cause of non-traumatic acute abdomen in all cases. Clinical evaluation combined with x-rays and ultrasound increases the number and accuracy of pre-operative diagnosis in non-traumatic acute abdomen.
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spelling doaj.art-cc4c524c147446238f381eba2fb97a9a2023-02-16T12:30:40ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-0111127686769010.4103/jfmpc.jfmpc_624_22Comparative study between clinical diagnosis, plain radiography and sonography for the diagnosis of nontraumatic acute abdomenPradeep SharmaRajan SoodMukul SharmaArun K GuptaArun ChauhanBackground: Acute abdomen is the most commonly attended surgical emergency. It can be caused by intra-abdominal, extra-abdominal and metabolic causes. A few imaging modalities are at disposal of primary care physicians like plain x-ray and ultrasonography. Materials and Methods: This study has been done to compare the efficacy of clinical diagnosis, plain radiography and sonography in diagnosis of non-traumatic acute abdomen. Every patient under study admitted in the Department of General Surgery underwent thorough clinical evaluation, biochemical investigations, X-rays and sonography. Findings of clinical evaluation, X-Rays and sonography were compared to the final diagnosis found intraoperatively. Results: Clinical diagnosis was made in 47 (94%) out of 50 patients. X-rays were able to diagnose in 20 patients (40%) whereas sonography diagnosed 26 patients (52%). Conclusion: The present study showed that clinical evaluation, x-rays or Ultrasound alone are not sufficient to diagnose cause of non-traumatic acute abdomen in all cases. Clinical evaluation combined with x-rays and ultrasound increases the number and accuracy of pre-operative diagnosis in non-traumatic acute abdomen.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=12;spage=7686;epage=7690;aulast=Sharmaacute abdomenclinical diagnosissonographyx-ray
spellingShingle Pradeep Sharma
Rajan Sood
Mukul Sharma
Arun K Gupta
Arun Chauhan
Comparative study between clinical diagnosis, plain radiography and sonography for the diagnosis of nontraumatic acute abdomen
Journal of Family Medicine and Primary Care
acute abdomen
clinical diagnosis
sonography
x-ray
title Comparative study between clinical diagnosis, plain radiography and sonography for the diagnosis of nontraumatic acute abdomen
title_full Comparative study between clinical diagnosis, plain radiography and sonography for the diagnosis of nontraumatic acute abdomen
title_fullStr Comparative study between clinical diagnosis, plain radiography and sonography for the diagnosis of nontraumatic acute abdomen
title_full_unstemmed Comparative study between clinical diagnosis, plain radiography and sonography for the diagnosis of nontraumatic acute abdomen
title_short Comparative study between clinical diagnosis, plain radiography and sonography for the diagnosis of nontraumatic acute abdomen
title_sort comparative study between clinical diagnosis plain radiography and sonography for the diagnosis of nontraumatic acute abdomen
topic acute abdomen
clinical diagnosis
sonography
x-ray
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=12;spage=7686;epage=7690;aulast=Sharma
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