ISSN 2149-5807 | E-ISSN 2149-6048
Original Article
Analysis of Patients Presenting to the Emergency Department with Acute Abdominal Pain
1 Haseki Eğitim ve Araştırma Hastanesi, Acil Tıp Anabilim Dalı, İstanbul, Türkiye  
2 Department of Emergency Medicine, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey  
3 Bağcılar Eğitim ve Araştırma Hastanesi, Acil Tıp Anabilim Dalı, İstanbul, Türkiye  
4 Trabzon Numune Eğitim ve Araştırma Hastanesi, Acil Tıp Anabilim Dalı, Trabzon, Türkiye  
5 Karadeniz Teknik Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Trabzon, Türkiye  
Eurasian J Emerg Med 2012; 11: 212-215
DOI: 10.5152/jaem.2012.033
Key Words: Acute abdominal pain, acute abdomen, cholecystitis, appendicitis, mesenteric ischemia

Objective: Acute abdominal pain is a common cause of admission to the

emergency department. Differential diagnosis of abdominal pain is not easy

for the emergency physician. In this study, the results of physical examination,

blood biochemical analysis and radiological imaging in patients presenting

to the emergency department with abdominal pain were evaluated. These

findings were compared with the literature.


Material and Methods: This study was designed as a cross-sectional descriptive

study. One hundred and sixty-six patients were included. Patient physical

examination findings, amylase, D-dimer and leukocyte values and radiological

and surgical findings were evaluated.


Results: All patients had abdominal physical examination findings. Seventy-

two (43.4%) patients had only abdominal sensitivity, 33 (28%) patients

showed gall bladder pathology by ultrasound and no pathology was found

in 36 patients (30.7%). A mass was determined in three (8.1%) of 37 (22.3%)

patients, appendicitis in four (10.8%), gall bladder pathology in three (8.1%),

ileus-volvulus in four (10.8%) and mesenteric ischemia in six (16.2%) patients

who were examined by abdominal tomography.


Conclusion: Despite advances in imaging and laboratory techniques, the great

majority of cases with acute abdominal pain cannot be definitively diagnosed,

as in this study, and are evaluated as non-specific abdominal pain. The fact

that selected cases are transferred to the center where the investigation is performed

may create a discrepancy with the literature. In this study, the frequency

of gall duct-related diseases was higher than in the literature and cases of acute

appendicitis were much less frequent.

Key Words
Editor’s Corner
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