ABSTRACT
Background: Present study was aimed to study the clinical pattern, etiology and management outcomes of patients presenting with acute pain in abdomen in the Emergency Medicine Department (EMD), SSG Hospital. Aims: 1) To study Acute Pain in Abdomen, and various clinical presentation of acute abdominal pain in patients attending casualty at S.S.G.hospital. 2) to compare clinical judgment with radiological, intraoperative, and histopathological findings. Methods: A prospective observational study of total 700 patients was carried out from January 2013 to October 2013. All patients of acute pain in abdomen, except pregnant women & penetrating /blunt abdominal injury, comes to EMD in the casualty, at SSG Hospital were included. Results: Majority of female patients presented with generalised, colicky (predominantly) or dull aching pain, in mild to moderate intensity, within three days of onset of pain; while majority of male patients presented with generalised, dull aching (predominantly) or colicky pain, in severe to excruciating intensity, after the three days of onset of abdominal pain. Conclusion: In our study, majority of patients presenting to EMD with Abdominal Pain were male and belong to age group of 21-50 years. Patients with generalised abdominal pain and Left Upper Quadrant pain were found to be having Nonspecific Abdominal Pain. Patients diagnosed as Acute Pancreatitis had come with pain in periumbilical area, Epigastric region, & back; while patients with Right Upper Quadrant, Right Lower Quadrant and Flank pain turned out to be Acute Cholecystitis, Acute Appendicitis, and Ureteric Colic, respectively. Patients with generalised abdominal pain, nausea, vomiting and fever were found to be having Acute Appendicitis. Patients diagnosed as Bowel Obstruction had come with Abdominal Distension and Constipation; with anorexia, were diagnosed Nonspecific Abdominal Pain; with jaundice, were diagnosed Liver Abscess; with burning micturition, all were diagnosed Nonspecific Abdominal Pain.