Evaluation of surgical abdomen in pediatric subjects admitted for acute abdomen at our tertiary care centre
Keywords:
acute abdominal pain, emergency department, traumatic, non-traumatic, acute abdomenAbstract
Acute abdominal pain is one of the most common problems in children admitted to the pediatric emergency department (ED), and often presents a diagnostic dilemma for primary clinicians. Acute abdominal pain in patients presenting to the ED is often diagnosed as a disorder that does not require surgical intervention, such as acute gastroenteritis, functional digestive disorders or constipation. Objectives of our study: to evaluate various etilogies of acute abdomen in children presenting to paediatric emergency department and to estimate the prevalence of surgical abdomen in children presenting to pediatric emergency department. Methodology: Demographic information of the patients was noted down from the hospital case records, which include age, gender. Presenting complaints, clinical signs, etiologies of acute abdomen, laboratory investigations results TLC, DC, CRP, USG findings, CT abdomen findings, time and date of admission, daily progress, time and date of discharge were noted. In traumatic group apart of these observations additional lab investigations like amylase, lipase, ALT, AST, total protein and A:G ratio were noted. Results: We had a total of 132 subjects in non-traumatic group out of which 73% had acute appendicitis, 14% had incarcerated hernia, 7% had instussception, 5% had perforation and 0.75% had torsion.
Downloads
References
Wu HP, Huang CY, Chang YJ, Chou CC, Lin CY. Use of changes over time in serum inflammatory parameters in patients with equivocal appendicitis. Surgery 2006;139: 789−96.
Ho WL, Yang TW, Chi WC, Chang HJ, Huang LM, Chang MH. Intussusception in Taiwanese children: analysis of incidence, length of hospitalization and hospital costs in different age groups. J Formos Med Assoc 2005;104:398−401.
Watanabe T, Kimura W, Yano M, Hachiya O, Ma J, Fuse A. A drainage operation for injury to the pancreas preserved the distal pancreas, spleen and the residual stomach after distal gastrectomy: a case report. Hepatogastroenterology 2007;54:1957−8.
Zwingmann J, Schmal H, Südkamp NP, Strohm PC. Injury severity and localisations seen in polytraumatised children compared to adults and the relevance for emergency room management. Zentralbl Chir 2008;133:68−75.
Scholer SJ, Pituch K, Orr DP, Dittus RS. Test ordering on children with acute abdominal pain. Clin Pediatr 1999;38:493−7.
Rothrock SG, Green SM, Hummel CB. Plain abdominal radiography in the detection of major disease in children: a prospective analysis. Ann Emerg Med 1992;21:1423−9.
Davies AH, Mastorakou I, Cobb R, Rogers C, Lindsell D, Mortensen NJ. Ultrasonography in the acute abdomen. Br J Surg 1991;78:1178−80.
Douglas CD, Macpherson NE, Davidson PM, Gani JS. Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis, incorporating the Alvarado score. BMJ 2000;321:919−22.
Rothrock SG, Pagane J. Acute appendicitis in children: emergency department diagnosis and management. Ann Emerg Med 2001;36:39−51.
Wu HP, Lin CY, Chang CF, Chang YJ, Huang CY. Predictive value of C-reactive protein at different cutoff levels in acute appendicitis. Am J Emerg Med 2005;23:60−6
Mason JD. The evaluation of acute abdominal pain in children. Emerg Med Clin North Am 1996;11:629−43.
Erkan T, Cam H, Ozkan HC, et al. Clinical spectrum of acute abdominal pain in Turkish pediatric patients: a prospective study. Pediatr Int 2004;46:325−9.
Lin KC, Wu HP, Huang CY, Lin CY, Chang CF. Discriminant analysis of serum inflammatory biomarkers which differentiate pediatric appendicitis from other acute abdominal diseases. Acta Paediatr Taiwan 2007;48:125−30.
Maureen MC, Ghazala QS. Abdominal pain in children. Pediatr Clin N Am 2006;53:107−37.
Eshel G, Barr J, Heyman E, et al. Intussusception: a 9-year survey (1986−1995). J Pediatr Gastroenterol Nutr 1997;24:253−6.
Fleisher GR, Ludwig S, Henretig FM, Ruddy RM, Silverman BK, eds. Textbook of Pediatric Emergency Medicine. Philadelphia: Lippincott Williams & Wilkins, 2006:1453−62.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
