Acute abdominal pain in gynaecology.
Fifty female patients with acute abdominal pain were studied. High risk factors helping in clinical diagnosis were evaluated and 7(14%) cases with clear cut surgical indications were immediately operated on while 43 (86%) were kept under active observation. In doubtful cases, culdoscopy and diagnostic laparoscopy were found to be helpful in confirming the diagnosis and another 26% were operated later on. The delay in surgery did not increase the morbidity and mortality and only one patient (2%) underwent unnecessary laparotomy. Hence, it was concluded that active observation in cases of acute abdominal pain of doubtful origin is a safe and effective approach.
Vaid
N B
NB
Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi.
Mukherjee
S
S
Gupta
A
A
D015746:Abdominal Pain / Q000209:etiology*; D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D000292:Pelvic Inflammatory Disease / Q000150:complications; D010538:Peritonitis / Q000150:complications; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications