Acute abdominal pain is a medical emergency that is characterized by
abrupt, acute, recently developed abdominal pain that is accompanied by other
signs that are confined in the abdomen area. The purpose of this study was to
illustrate how ultrasonography may be used to identify sudden abdominal pain.
From December 2021 and March 2022, a comprehensive examination of 50 patients with
acute abdominal pain was conducted. Seven hospitals in Khartoum State, Sudan,
examined individuals with clinically suspected abdominal and pelvic deformities using 3.5 MHz ultrasound
machines. Out of the 50 (100%) patients who were presented with acute
abdominal pain 10 (20%) were appendicitis, 9 (18%) were cholecystitis, 8(16%)
were Nephrolithiasis, 3 (6%) were Choledocholithiasis, 3(6%) were
Chronic kidney disease, 3 (6%) were Cholelithiasis, 3(6%) were Cystitis, 4(8%) were Ascites, 1(2%) was acute kidney injury, 1(2%) was Acute Peritonitis, 1(2%) was
Diverticulum and 1(2%) each was of Epigastric hernia, Hepatosplenomegaly, Liver cirrhosis,
Nephritis and Ovarian cysts respectively. According to the study results,
ultrasonography (US) proceeds to be the go-to imaging strategy in most
situations, particularly for younger and female patients, where limiting
exposure to radiation
References
[1]
Makrauer, F.L. and Greenberger, N.J. (2016) Acute Abdominal Pain: Basic Principles and Current Challenges. In: Greenberger, N.J., Blumberg, R.S. and Burakoff, R., Eds., Current Diagnosis and Treatment: Gastroenterology, Hepatology, & Endoscopy, 3nd Edition, The McGraw-Hill Companies, New York, 3.
[2]
Mazzei, M.A., Guerrini, S., Squitieri, N.C., et al. (2013) The Role of US Examination in the Management of Acute Abdomen. Critical Ultrasound Journal, 5, Article No. S6. https://doi.org/10.1186/2036-7902-5-S1-S6
[3]
Cartwright, S.L. and Knudson, M.P. (2008) Evaluation of Acute Abdominal Pain in Adults. American Family Physician, 77, 971-978. https://www.aafp.org/home.html
[4]
Bowser, R. (2001) Racial Profiling in Health Care: An Institutional Analysis of Medical Treatment Disparities. Michigan Journal of Race and Law, 7, 79. https://repository.law.umich.edu/mjrl/vol7/iss1/3
[5]
Scaglione, M., Linsenmaier, U. and Schueller, G. (2012) Emergency Radiology of the Abdomen: Imaging Features and Differential Diagnosis for a Timely Management Approach. Springer, Milan. https://doi.org/10.1007/978-88-470-2513-4
[6]
Yu, H.S., Gupta, A., Soto, J.A. and LeBedis, C. (2016) Emergency Abdominal MRI: Current Uses and Trends. The British Journal of Radiology, 89, Article ID: 20150804. https://doi.org/10.1259/bjr.20150804
[7]
Bhuiya, F.A., Pitts, S.R. and McCaig, L.F. (2010) Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999-2008. NCHS Data Brief No. 43, 1-8. http://www.cdc.gov/nchs/products/databriefs.htm
[8]
Nawar, E.W., Niska, R.W. and Xu, J.M. (2007) National Hospital Ambulatory Medical Care Survey: 2003 Emergency Department Summary. Advance Data No. 386, 1-32. http://www.cdc.gov/nchs/products/pubs/pubd/ad/ad.htm
[9]
Ajay, P., Sartaj, A., Arvind, S. and Bhawana, P. (2017) Accuracy of Ultrasound in the Diagnosis of Abdominal Pain among Children. International Journal of Contemporary Medicine, 5, 11.
[10]
Dondossola, D., Ghidini, M., Rossi, G. and Foschi, D. (2020) Practical Review for Diagnosis and Clinical Management of Perihilar Cholangiocarcinoma. World Journal of Gastroenterology, 26, 3542-3561. https://doi.org/10.3748/wjg.v26.i25.3542
[11]
Megibow, A.J., Kambadakone, A. and Ananthakrishnan, L. (2018) Dual-Energy Computed Tomography: Image Acquisition, Processing, and Workflow. Radiologic Clinics of North America, 56, 507-520. https://doi.org/10.1016/j.rcl.2018.03.001
[12]
Kandola, A. (2022) Abdominal Ultrasound: Purpose, Procedure, and Risks. https://www.medicalnewstoday.com/articles/324392
[13]
Davies, A.H., Cobb, R., McC Mortensen, N.J., et al. (1991) Ultrasonography in the Acute Abdomen. British Journal of Surgery, 78, 1178-1180. https://doi.org/10.1002/bjs.1800781010
[14]
Cervellin, G., Comelli, I., Bonfanti, L., et al. (2019) Emergency Diagnostic Testing in Pregnancy. Journal of Laboratory and Precision Medicine, 5, 3. https://doi.org/10.21037/jlpm.2019.10.04
[15]
Gyedu, A, Adae-Aboagye, K. and Badu-Peprah, A. (2015) Prevalence of Cholelithiasis among Persons Undergoing Abdominal Ultrasound at the Komfo Anokye Teaching Hospital, Kumasi, Ghana. African Health Sciences, 15, 246-252. https://doi.org/10.4314/ahs.v15i1.32
[16]
Sharif, S., Skitch, S., Vlahaki, D. and Healey, A. (2017) Point-of-Care Ultrasound in Diagnosis of Acute Appendicitis in the Emergency Department. CJEM, 20, 732-735. https://doi.org/10.1017/cem.2018.373