ETIOLOGICAL SPECTRUM OF ACUTE ABDOMEN AMONG PATIENTS PRESENTING TO SURGICAL EMERGENCY IN TERTIARY CARE HOSPITAL, LAHORE
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Keywords
Acute Abdomen, Acute Appendicitis, Acute Cholecystitis, Intestinal Perforation, Acute Pancreatitis, Typhoid Perforation, Small gut obstruction, large gut Obstruction, Sigmoid Volvulus.
Abstract
Objective: To assess the pattern of most common surgical pathologies in acute abdomen in adult population between ages 18 to 80 years.
Study Design: Cross sectional nonconsecutive nonrandom observational study analytical study conducted over a period of One year from 1st January 2024 till 31st December 2024.
Place and Duration: Patients landing in the emergency room of Chaudhry Akram Teaching Hospital with acute abdomen which were dealt with by the surgical emergency were included in the study and detailed record taken. Study was conducted over a One year from 1st January 2024 till 31st December 2024.
Result: A total of 194(n) patients were included in the study with female dominance by a small factor. In descending order of occurrence, the provisional diagnoses were acute appendicitis, acute cholecystitis, acute pancreatitis, duodenal, typhoid and tuberculous visceral perforation, small bowel obstruction, large bowel obstruction, mesenteric ischemia and pelvic abscess. Gender and age were not significantly linked with the presentation of the above-mentioned diagnoses.
Conclusion: Acute appendicitis has been found to be the most common cause of acute abdomen presenting in emergency of Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore, Pakistan irrespective age and gender, followed by acute cholecystitis and pancreatitis. This was followed by infectious perforations of small gut, and then mechanical obstructions of small and large gut. Mesenteric ischemia and pelvic abscesses were among the least common presenting diagnoses in the emergency room. There was no significant gender association found between the most common causes of acute abdomen and any specific gender.
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Hafiz Zia Farooq Bhatti
Senior Registrar, Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore, Pakistan
Farooq Ahmed Rana
Head of Department Surgical Unit 1 Jinnah Hospital Lahore, Pakistan
Maaz Moin Khan
Vascular Surgery Resident, Doctors Hospital Lahore, Pakistan
Faryal Ufaq
Senior Registrar Chaudhary Muhammad Akram Teaching and Research Hospital Lahore, Pakistan
Muhammad Ammar Fayyaz
Senior Registrar Chaudhary Muhammad Akram Teaching and Research Hospital Lahore, Pakistan
Ch Muhammad Aqeel
Associate Professor Surgery, Chaudhary Muhammad Akram Teaching and Research Hospital, Pakistan
Yousra Sohail
Post Graduate Trainee, CMA Teaching Hospital Lahore, Pakistan
Mehvish Irshad
Post Graduate Trainee, CMA Teaching Hospital Lahore, Pakistan
Akif Mazhar
Medical Officer in Pakistan Society of Rehabilitation, Lahore, Pakistan
Alina Munir Butt
Female Medical Officer in Rana Tahir Hospital, Lahore, Pakistan