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Role Of ultrasonography in non traumatic acute abdomen

Prasad, Hari and Rodrigues, Gabriel and Shenoy, Rajgopal (2006) Role Of ultrasonography in non traumatic acute abdomen. The Internet Journal of Radiology, 5 (2). pp. 1-2.

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Abstract

Background: In acute abdomen the patient experiences sudden severe abdominal pain which may suggest a threat to his/her life and may or may not demand immediate operative interference. It is important to make early diagnosis and a delay will worsen the condition and may lead to fatal outcome Objective: To determine the ability of ultrasound to diagnose non traumatic acute abdominal conditions, analysis of ultrasound findings and its correlation with clinical findings, laboratory and other radiological investigations along with operative findings, wherever possible. In addition to compare sensitivity and specificity in diagnosing various conditions. Materials and methods: The study comprised of patients presented with non-traumatic acute pain abdomen during the period June 2003 to October 2004 to our hospital and underwent ultrasonography. Results: A total of 148 patients were included in this study and underwent abdominal ultrasonography. Definite diagnosis was made in 116 cases (78.4%). The sensitivity and specificity for ultrasound in diagnosing acute appendicitis, ureteric colic, acute pancreatitis and acute cholecystitis was around 66.6% and 100%, 84.6 % and 98.4%, 73.6% and 97.7%, 92.3% and 100% respectively. Discussion: In diagnosing hepatobiliary and gynecological conditions ultrasonography is highly sensitive and highly specific. In diagnosing acute appendicitis, ureteric colic and acute pancreatitis ultrasonography has high specificity but low sensitivity. However ultrasonography was misleading in five cases. Conclusions: The accuracy of ultrasound in diagnosing hepatobiliary and gynecological disorders helps to reduce negative laparotomy rate and is cost effective. Hence ultrasonography should be a part of routine surgical investigation and should be mastered and used by surgeons.

Item Type: Article
Subjects: Medicine > KMC Manipal > Surgery
Depositing User: KMC Manipal
Date Deposited: 29 May 2015 05:12
Last Modified: 29 May 2015 05:12
URI: http://eprints.manipal.edu/id/eprint/142824

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