[Right iliac fossa pain in women. Conventional diagnostic approach versus primary laparoscopy. A controlled study (65 cases)].
In a series of 187 patients with acute abdominal pain syndrome, 65 young women reported non specific pain in right iliac or pelvic area. A controlled study compared 33 patients with immediate laparoscopy and 32 explored with a laboratory contrast or imaging approach. In the laparoscopic group, an exact diagnosis was made in 97% of the patients, allowing in 2/3 of cases the endoscopic treatment. Only 28% in the second group had an exact diagnosis. Hospital stay was shorter in the laparoscopic group (4.18 vs 6.16 days; p = 0.01) decreasing the hospital cost. The authors suggest that immediate laparoscopy should be performed in young women presenting with non-specific abdominal pain.
Champault
G
G
Service de Chirurgie Générale et Digestive, Hôpital Jean-Verdier, Bondy.
Rizk
N
N
Lauroy
J
J
Olivares
P
P
Belhassen
A
A
Boutelier
P
P
D015746:Abdominal Pain / Q000209:etiology*; D000293:Adolescent; D000328:Adult; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies; D012488:Salpingitis / Q000150:complications / Q000175:diagnosis*
Douleurs iliaques droites de la femme. Approche diagnostique conventionnelle versus laparoscopie première. Etude contrôlée (65 cas).