Volume 2, Issue 2 (6-2003)                   JRUMS 2003, 2(2): 112-118 | Back to browse issues page


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Rezai Nasab M. Prospective Study of Etiologies of Acute Abdominal Syndrome in Patients Admitted to Ali Ibn Abitaleb Hospital of Rafsanjan. JRUMS. 2003; 2 (2) :112-118
URL: http://journal.rums.ac.ir/article-1-69-en.html

استاديار گروه جراحي
Abstract:   (11726 Views)

  Prospective Study of Etiologies of Acute Abdominal Syndrome in Patients Admitted to Ali Ibn Abitaleb Hospital of Rafsanjan

 

  M. Rezai Nasab MD1

  1-Assistant Professor of surgery, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

 

  Background: Acute Abdomen Syndrom is one of the most frequent referal cases to the emergencies of hospitals all over the world. At the present, it is one of the most important causes of high mortality of human beings in all of the societies. The ethiology of acute abdomen syndrom is different in various geogrophical regions. It is very important to know the actual cause in order to prevent the unnecessary operations as well as prevention of undesirable side effects of operations

  Materials and methods: Statistical data was collected from 898 patients, who were referred to the emergency unit Ali Ibn Abitaleb hospital due to acute abdomen syndrome and which were hospitalized. The data were analyzed in this retrospective study. This study was carried out whithin five months of the starting date. The patients were followed up until the final diagnosis was performed. The suspected patients of sufering acute abdomenal disorders were repeatedlly examinated physically in the hospital ward during the hospitalization in order to differentiate them in acute abdomen syndrom.

  Results: Statistical analysis by Chi-Square test (P value < 0.05) indicated the following results:

  Among the referral patients, 492 persons were female (55%) and 406 persons were male (45%) .

  The most frequent age group of patients were between 10-20 years old.

  The most frequent clinical symptoms that was observed in physical examinations were severe abdomen pain, lack of appetite nausea and vomiting.

  The most frequent cause of acute abdomen syndrome in reffral patients was non-specific pain of abdomen due to appendicitis and renal colics in men and non-specific pain of abdomen due to appendicitis and ovarian cysts in women.

  5) Out of 898 patients, 391 of them required surgery (43%) and 507 patients recovered without needing surgery (57%).

  Conclusion: Nonspecific pain of abdominal region was the most frequent reason for admission to the emergency unit of the Ali Ibn Abitaleb Hospital of Rafsanjan Medical University. The frequency rate of appendicitis reported in previous studies were less compared to this study (both in men and women). However, intestinal obstruction cases were the least frequent cases in this study. The most frequent misdiagnosis were was in for women. We found that the patient’s history and physical examinations are very important factors for acurate diagnosis and discovering the etiology of the acute abdominal syndrome especially in female patients.

 

 Key words: Acute abdominal pain., Appendicitis, Non specific abdominal pain. Renal colic, Ovarian

 

  Correspondng auther,tel: (0391)8220025

 

  J0urnal of Rafsanjan University of Medical Sciences and Health Scrvices,2003,2(2): 112-118.

 

Full-Text [PDF 214 kb]   (1560 Downloads)    
Type of Study: Research | Subject: Surgery
Received: 2005/12/10

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