[Semeiology of intestinal infarction. Multicenter prospective study].
A multicenter study was conducted prospectively in 6,970 consecutive adult patients with acute abdominal pain lasting less than 7 days. Seventy-one (1 p. 100) had an intestinal infarction. Sensitivity and positive predictive value, for a 1 p. 100 prevalence, were computed for each one of 43 clinical, biological and radiologic signs. According to these indexes, signs were classified as "not worthwhile", "passable", "adequate", "good", or "excellent". No sign was found to be "excellent"; this may account for the difficulty of intestinal infarction diagnosis in the emergency setting. Moreover, signs generally described as "worthwhile" for the diagnosis (accurate description of initial pain, failure to pass feces, abdominal tenderness, guarding, murmur) were found to be "not worthwhile". "Good" signs included recent arrhythmia, low blood pressure, stasis fluid in gastric aspirate, and diffuse opacity on X-ray films.
D000006:Abdomen, Acute / Q000000981:diagnostic imaging / Q000209:etiology*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis*; D007422:Intestines / Q000098:blood supply* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D015337:Multicenter Studies as Topic; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011859:Radiography
Séméiologie des infarctus intestinaux. Etude prospective multicentrique.