Up ] Abdominal incisions ] Groin hernias ] Other hernias ] Peritonitis ] Appendicitis ] Ovarian cysts ] Oesophageal perforation ] Perforated peptic ulcer ] Diverticular disease ] Upper GI haemorrhage ] Lower GI haemorrhage ] Small bowel obstruction ] Large bowel obstruction ] Sigmoid and caecal volvulus ] Pseudo-obstruction ] Enterocutaneous fistulae ] Mesenteric ischaemia ] Acute pancreatitis ] Pyogenic liver abscess ] Amoebic liver abscess ] Hydatid disease ] Gynecological pain ] GORD ] Achalasia ] Oesophageal carcinoma ] Peptic ulcer disease ] Gastric carcinoma ] Hepatocellular carcinoma ] Pancreatic cancer ] Chronic pancreatitis ] Colonic polyps ] Colorectal carcinoma ] Liver metastases ] Anal carcinoma ] Inflammatory bowel disease ] Anal fissure ] Haemorrhoids ] Perianal sepsis ] Pilonidal sinus ] Rectal prolapse ] Jaundice ] Gall stones ] Portal hypertension ] Ascites ] Stomas ] [ Abdominal pain ] Abdominal masses ]

Investigation of abdominal pain

  • Emergency admissions account for 50% of general surgical work load
  • 50% of emergency admissions are for abdominal pain

Conditions presenting with acute abdominal pain

Condition Percentage
Non-specific abdominal pain 35
Acute appendicitis 17
Intestinal obstruction 15
Urological causes 6
Gallstone disease 5
Colonic diverticular disease 4
Abdominal trauma 3
Abdominal malignancy 3
Perforated peptic ulcer 3
Pancreatitis 2
Ruptured AAA <1
Inflammatory bowel disease <1
Gastroenteritis <1
Mesenteric ischaemia <1

Causes of non-specific abdominal pain

  • Viral infections
  • Bacterial gastroenteritis
  • Worm infestations
  • Irritable bowel syndrome
  • Gynaecological causes
  • Psychosomatic pain
  • Abdominal wall pain
    • Iatrogenic peripheral nerve injuries
    • Hernia
    • Myofascial pain syndrome
    • Rib tip syndrome
    • Nerve root pain
    • Rectus sheath haematoma

Bibliography

 
 

Copyright 1997- 2013 Surgical-tutor.org.uk