title: [NSAID-use delays the diagnosis of 'acute abdomen'].
abstract: In three patients with abdominal pain, two men aged 63 and 18 years and a woman aged 46 years, the use of NSAIDs reduced the symptoms. They were in fact suffering from peritonitis due to gastrointestinal perforation, but the decision to operate was delayed because of the relatively mild presentation. The strong analgesic, antipyretic and anti-inflammatory properties of NSAIDs can reduce the symptoms, signs and laboratory findings of peritonitis.
authors.affiliation: Afd. Algemene Heelkunde, Academisch Ziekenhuis Rotterdam-Dijkzigt.
authors.forename: I S
authors.initials: IS
authors.lastname: Lucas
authors.forename: M S
authors.initials: MS
authors.lastname: Ibelings
authors.forename: H A
authors.initials: HA
authors.lastname: Bruining
mesh_terms: D000006:Abdomen, Acute / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D000293:Adolescent; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D004241:Diverticulum, Colon / Q000175:diagnosis / Q000188:drug therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007082:Ileum; D007416:Intestinal Perforation / Q000150:complications / Q000175:diagnosis*; D007422:Intestines / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D012421:Rupture / Q000175:diagnosis; D018805:Sepsis / Q000175:diagnosis
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal
vernacular_title: NSAID-gebruik vertraagt de diagnose 'acute buik'.