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Epidemiology of Acute Abdominal Pain in Adults in the Emergency Department Setting

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Book cover CT of the Acute Abdomen

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Managing acute abdominal pain is a great challenge for the emergency physician. The diagnostic approach for acute abdominal pain is one of the most difficult for a physician. This is primarily due to the large extent of the clinical manifestations for abdominal pain, as well as to the subjectivity of the patient’s feelings when it comes to clearly expressing the symptoms. Accurate measurement of the prevalence of the origin of acute abdominal pain is difficult. The cause of these pains is indeed wide-ranging, including very different clinical situations, extending from a viral gastroenteritis to abdominal aneurysm complications, through nonspecific abdominal pain.

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References

  • Ahmed S, Shahid RK, Russo LA (2005) Unusual causes of abdominal pain: sickle cell anemia. Best Pract Res Clin Gastroenterol 19(2):297–310

    Article  PubMed  Google Scholar 

  • Bass KN, Jones B, Bulkley GB (1997) Current management of small-bowel obstruction. Adv Surg 31:1–34

    PubMed  CAS  Google Scholar 

  • Bennett DH, Tambeur LJ, Campbell WB (1994) Use of coughing test to diagnose peritonitis. BMJ 308(6940):1336

    PubMed  CAS  Google Scholar 

  • Boomer L, Freeman J, Landrito E, Feliz A (2010) Perforation in adults with acute appendicitis linked to insurance status, not ethnicity. J Surg Res 163(2):221–224

    Article  PubMed  Google Scholar 

  • Bouillot JL, Bresler L (2004) Abdomens aigus: prise en charge diagnostique. 106° Congrès de l’AFC, Arnette

    Google Scholar 

  • Broder JS, Hollingsworth CL, Miller CM, Meyer JL, Paulson EK (2010) Prospective double-blinded study of abdominal-pelvic computed tomography guided by the region of tenderness: estimation of detection of acute pathology and radiation exposure reduction. Ann Emerg Med 56(2):126–134

    Article  PubMed  Google Scholar 

  • Bugliosi TF, Meloy TD, Vukov LF (1990) Acute abdominal pain in the elderly. Ann Emerg Med 19(12):1383–1386

    Article  PubMed  CAS  Google Scholar 

  • de Dombal FT (1979) Acute abdominal pain—an O.M.G.E. survey. Scand J Gastroenterol Suppl 56:29–43

    PubMed  Google Scholar 

  • de Dombal FT (1994) Acute abdominal pain in the elderly. J Clin Gastroenterol 19(4):331–335

    Article  PubMed  Google Scholar 

  • Fleming C, Whitlock EP, Beil TL, Lederle FA (2005) Screening for abdominal aortic aneurysm: a best-evidence systematic review for the U.S. Preventive Services Task Force. Ann Intern Med 142(3):203–211

    PubMed  Google Scholar 

  • Gardner RL, Almeida R, Maselli JH, Auerbach A (2010) Does gender influence emergency department management and outcomes in geriatric abdominal pain? J Emerg Med 39(3):275

    Article  PubMed  Google Scholar 

  • Gretarsdottir S, Baas AF, Thorleifsson G, Holm H, den Heijer M, de Vries JP, Kranendonk SE, Zeebregts CJ, van Sterkenburg SM, Geelkerken RH, van Rij AM, Williams MJ, Boll AP, Kostic JP, Jonasdottir A, Jonasdottir A, Walters GB, Masson G, Sulem P, Saemundsdottir J, Mouy M, Magnusson KP, Tromp G, Elmore JR, Sakalihasan N, Limet R, Defraigne JO, Ferrell RE, Ronkainen A, Ruigrok YM, Wijmenga C, Grobbee DE, Shah SH, Granger CB, Quyyumi AA, Vaccarino V, Patel RS, Zafari AM, Levey AI, Austin H, Girelli D, Pignatti PF, Olivieri O, Martinelli N, Malerba G, Trabetti E, Becker LC, Becker DM, Reilly MP, Rader DJ, Mueller T, Dieplinger B, Haltmayer M, Urbonavicius S, Lindblad B, Gottsater A, Gaetani E, Pola R, Wells P, Rodger M, Forgie M, Langlois N, Corral J, Vicente V, Fontcuberta J, Espana F, Grarup N, Jorgensen T, Witte DR, Hansen T, Pedersen O, Aben KK, de Graaf J, Holewijn S, Folkersen L, Franco-Cereceda A, Eriksson P, Collier DA, Stefansson H, Steinthorsdottir V, Rafnar T, Valdimarsson EM, Magnadottir HB, Sveinbjornsdottir S, Olafsson I, Magnusson MK, Palmason R, Haraldsdottir V, Andersen K, Onundarson PT, Thorgeirsson G, Kiemeney LA, Powell JT, Carey DJ, Kuivaniemi H, Lindholt JS, Jones GT, Kong A, Blankensteijn JD, Matthiasson SE, Thorsteinsdottir U, Stefansson K (2010) Genome-wide association study identifies a sequence variant within the DAB2IP gene conferring susceptibility to abdominal aortic aneurysm. Nat Genet 42(8):692–697

    Article  PubMed  CAS  Google Scholar 

  • Hayanga AJ, Bass-Wilkins K, Bulkley GB (2005) Current management of small-bowel obstruction. Adv Surg 39:1–33

    Article  PubMed  Google Scholar 

  • Heaton KW (2000) Diagnosis of acute non-specific abdominal pain. Lancet 355(9215):1644

    Article  PubMed  CAS  Google Scholar 

  • Hill A, Balkin A (2009) Risk factors for gastrointestinal adverse events in HIV treated and untreated patients. AIDS Rev 11(1):30–38

    PubMed  Google Scholar 

  • Hilton D, Iman N, Burke GJ, Moore A, O’Mara G, Signorini D, Lyons D, Banerjee AK, Clinch D (2001) Absence of abdominal pain in older persons with endoscopic ulcers: a prospective study. Am J Gastroenterol 96(2):380–384

    Article  PubMed  CAS  Google Scholar 

  • Howell JM, Eddy OL, Lukens TW, Thiessen ME, Weingart SD, Decker WW (2010) Clinical policy: critical issues in the evaluation and management of emergency department patients with suspected appendicitis. Ann Emerg Med 55(1):71–116

    Article  PubMed  Google Scholar 

  • Huffman JL, Schenker S (2010) Acute acalculous cholecystitis: a review. Clin Gastroenterol Hepatol 8(1):15–22

    Article  PubMed  Google Scholar 

  • Jordan GL Jr (1980) The acute abdomen. Adv Surg 14:259–315

    PubMed  Google Scholar 

  • Kent KC, Zwolak RM, Egorova NN, Riles TS, Manganaro A, Moskowitz AJ, Gelijns AC, Greco G (2010) Analysis of risk factors for abdominal aortic aneurysm in a cohort of more than 3 million individuals. J Vasc Surg 52(3):539–548

    Article  PubMed  Google Scholar 

  • Laurell H, Hansson LE, Gunnarsson U (2006) Acute abdominal pain among elderly patients. Gerontology 52(6):339–344

    Article  PubMed  CAS  Google Scholar 

  • Lyon C, Clark DC (2006) Diagnosis of acute abdominal pain in older patients. Am Fam Phys 74(9):1537–1544

    Google Scholar 

  • Marco CA, Schoenfeld CN, Keyl PM, Menkes ED, Doehring MC (1998) Abdominal pain in geriatric emergency patients: variables associated with adverse outcomes. Acad Emerg Med 5(12):1163–1168

    Article  PubMed  CAS  Google Scholar 

  • McCartan DP, Fleming FJ, Grace PA (2010) The management of right iliac fossa pain—is timing everything? Surgeon 8(4):211–217

    Article  PubMed  CAS  Google Scholar 

  • McHale PM, LoVecchio F (2001) Narcotic analgesia in the acute abdomen–a review of prospective trials. Eur J Emerg Med 8(2):131–136

    Article  PubMed  CAS  Google Scholar 

  • Nagurney JT, Brown DFM, Chang Y, Sane S, Wang AC, Weiner JB (2003) Use of diagnostic testing in the emergency department for patients presenting with non-traumatic abdominal pain. J Emerg Med 25(4):363

    Article  PubMed  Google Scholar 

  • Parente F, Cernuschi M, Antinori S, Lazzarin A, Moroni M, Fasan M, Rizzardini G, Rovati V, Morandi E, Molteni P et al (1994) Severe abdominal pain in patients with AIDS: frequency, clinical aspects, causes, and outcome. Scand J Gastroenterol 29(6):511–515

    Article  PubMed  CAS  Google Scholar 

  • Parker LJ, Vukov LF, Wollan PC (1997) Emergency department evaluation of geriatric patients with acute cholecystitis. Acad Emerg Med 4(1):51–55

    Article  PubMed  CAS  Google Scholar 

  • Paulson EK, Kalady MF, Pappas TN (2003) Clinical practice. Suspected appendicitis appendicitis. N Engl J Med 348(3):236–242

    Article  PubMed  Google Scholar 

  • Powell JT, Greenhalgh RM (2003) Clinical practice. Small abdominal aortic aneurysms. N Engl J Med 348(19):1895–1901

    Article  PubMed  Google Scholar 

  • Raman SS, Osuagwu FC, Kadell B, Cryer H, Sayre J, Lu DS (2008) Effect of CT on false positive diagnosis of appendicitis and perforation. N Engl J Med 358(9):972–973

    Article  PubMed  CAS  Google Scholar 

  • Rao PM, Rhea JT, Novelline RA, Mostafavi AA, McCabe CJ (1998) Effect of computed tomography of the appendix on treatment of patients and use of hospital resources. N Engl J Med 338(3):141–146

    Article  PubMed  CAS  Google Scholar 

  • Ross SO, Forsmark CE (2001) Pancreatic and biliary disorders in the elderly. Gastroenterol Clin North Am 30(2):531–545

    Article  PubMed  CAS  Google Scholar 

  • Sakalihasan N, Limet R, Defawe OD (2005) Abdominal aortic aneurysm. Lancet 365(9470):1577–1589

    Article  PubMed  CAS  Google Scholar 

  • Samaras N, Chevalley T, Samaras D, Gold G (2010) Older patients in the emergency department: a review. Ann Emerg Med 56(3):261–269

    Article  PubMed  Google Scholar 

  • Sheth AA, Longo W, Floch MH (2008) Diverticular disease and diverticulitis. Am J Gastroenterol 103(6):1550–1556

    Article  PubMed  Google Scholar 

  • Siewert B, Raptopoulos V, Mueller MF, Rosen MP, Steer M (1997) Impact of CT on diagnosis and management of acute abdomen in patients initially treated without surgery. AJR Am J Roentgenol 168(1):173–178

    PubMed  CAS  Google Scholar 

  • Stoker J, van Randen A, Lameris W, Boermeester MA (2009) Imaging patients with acute abdominal pain. Radiology 253(1):31–46

    Article  PubMed  Google Scholar 

  • Stollman N, Raskin JB (2004) Diverticular disease of the colon. Lancet 363(9409):631–639

    Article  PubMed  Google Scholar 

  • Trowbridge RL, Rutkowski NK, Shojania KG (2003) Does this patient have acute cholecystitis? JAMA 289(1):80–86

    Article  PubMed  Google Scholar 

  • Vissers RJ, Abu-Laban RB, McHugh DF (1999) Amylase and lipase in the emergency department evaluation of acute pancreatitis. J Emerg Med 17(6):1027–1037

    Article  PubMed  CAS  Google Scholar 

  • Wagner JM, McKinney WP, Carpenter JL (1996) Does this patient have appendicitis? JAMA 276(19):1589–1594

    Article  PubMed  CAS  Google Scholar 

  • Wind P, Malamut G, Cuénod C-A, Bénichou J (2007) Stratégie des explorations des douleurs abdominales. Médecine d’Urgence, 25–050-A20 edn. Elsevier Masson, Paris

    Google Scholar 

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Correspondence to Mustapha Sebbane .

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Sebbane, M., Dumont, R., Jreige, R., Eledjam, JJ. (2011). Epidemiology of Acute Abdominal Pain in Adults in the Emergency Department Setting. In: Taourel, P. (eds) CT of the Acute Abdomen. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2010_135

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  • DOI: https://doi.org/10.1007/174_2010_135

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-89231-1

  • Online ISBN: 978-3-540-89232-8

  • eBook Packages: MedicineMedicine (R0)

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