Acute abdomen film

Plain film diagnosis of the acute abdomen

  1. al plain films are essential for accurate assessment of the acute abdomen. obstruction, or other abnormality requiring immediate surgical intervention. Alternatively, they may suggest relatively benign disease and help avoid unnecessary operations in these patients. In either case, emergency roo
  2. ation, plain film radiographs have traditionally been one of the first and most useful methods of further investigation
  3. al air. Ileus. Pneumothorax. Free air in the abdomen Lucency beneath the diaphragm . Radiologic Work u
  4. al series is a common set of abdo
  5. al film has a limited value in the evaluation of abdo
  6. g Acute Abdo
  7. al pain in a subgroup of patients who are seriously ill and have abdo

Plain Films: The Acute Abdomen - ScienceDirec

  1. al pain developing over a short time period. It has a large number of possible causes and so a structured approach is required. The initial assessment should attempt to deter
  2. al pain that may be caused by inflammation, infection, perforation, ischemia, or obstruction. The location of the pain, its characteristics, and associated symptoms (e.g., jaundice) are important tools that help narrow the differential diagnosis
  3. al film is an X-ray of the abdomen. There are many reasons why a doctor may take an abdo

When acute abdominal disease is suspected clinically, an erect film of the abdomen and a posteroanterior (PA) view of the chest are also required. Digital imaging is becoming more common, and abdominal images may be viewed on a computer monitor rather than on films Conclusion: Abdominal plain film findings differed with age. Bowel dilatation was more frequent in the elderly with AIBD, whereas gasless abdomen was more common in younger patients. The radiographic findings were associated with clinical symptoms and mortality APPENDICITIS Abdominal plain films are abnormal in approximately 50 per cent of patients with acute appendicitis. 1 The most common plain film finding is a dilated cecum and/or terminal ileum with air-fluid levels on horizontal beam films owing to the proximity of the inflamed appendix

Acute abdominal series Radiology Reference Article

Fig. 1. Typical radiographic findings with gasless abdomen in a young patient (v71 years of age) with acute bowel ischemia. Fig. 2. Typical radiographic findings with large-bowel and small-bowel dilatation (gas/fluid levels not shown in this film) in an elderly patient (w84 years of age) with acute bowel ischemia. 240 M. Wadman et al. Acta. A Scout film of the abdomen is one obtained without the use of a contrast medium or any preparation on the part of the patient. Such an examination is usually an emergency procedure and is often done at the bedside. That it has not received the recognition it deserves is the fault of the roentgenologist, who has not brought its value as a diagnostic aid in acute abdominal conditions to. A neonate with an acute abdomen usually presents with vomiting, constipation and distention of the belly. When the symptoms are present immediately after birth, the most common cause is a gastrointestinal obstruction Obtaining plain films with the patient supine and erect and that include the diaphragm is the classic approach. Because chest abnormalities may produce an acute abdomen, a chest posteroanterior radiograph is sometimes ordered

The Radiology Assistant : Practical approach to Acute Abdome

An abdominal series (supine and upright abdominal x-rays and chest x-rays) may be diagnostic, showing free air under the diaphragm in 50 to 75% of cases. As time passes, this sign becomes more common. A lateral chest x-ray is more sensitive for free air than a posteroanterior x-ray Abdominal film (single view) 100 mrad Intravenous pyelography >1 rad* Hip film (single view)Hip film (single view) 200 mrad Mammography 7-20 mrad Barium enema or small bowel series 2-4 rad CT (computed tomography) scan head or chest <1 rad CT scan abdomen and lumbar spine 3.5 rad CT pelvimetry 250 mra Plain Radiography• Plain abdominal radiography is traditionally the first radiological investigation in acute abdomen• Interpretation of plain films presents with formidable challenge because though specific diagnosis can be made, not infrequently the appearance are non specific and misleading. 3 4 Acute abdominal pain is a common presenting complaint in older patients. Presentation may differ from that of the younger patient and is often complicated by coexistent disease, delays in. Plain abdominal radiographs are commonly requested for acute medical emergencies on patients with non-specific abdominal symptoms and signs. In this study 131 plain abdominal radiographs performed on the day of admission were prospectively analysed. In only 16 cases (12%) the reasons for requests conformed to the recommended guidelines by the Royal College of Radiologists

Abdominal radiographs are one of the most commonly performed radiological examinations and have an established role in the assessment of the acute abdomen. The main indication is for suspected bowel obstruction and in conjunction with an erect chest x-ray for suspected visceral perforation. Often, the pattern of gas points to a particular pathology, and accurate interpretation is important for. Extrabdominal Diagnoses of Acute Abdominal Pain: Cardiopulmonary Pain is usually in upper half of abdomen. A chest film should be done to look for pneumonia, pulmonary infarction, pleura effusion, and / or pnemothorax Journal de radiologie - Vol. 88 - N° 6-C1 - p. 871-875 - emergency - Acute abdomen film: is there hope of changing referring patterns? - EM|consult Indications Indications for Abdominal Radiography. Despite the known limitations of indiscriminate plain film abdominal radiography (PFR) in the evaluation of acute abdominal pain, it is still used with high frequency in patients presenting with acute abdominal pain 1,2; The ideal rate of PFR for acute abdominal pain should probably not exceed 10%, if indications for its use are stringently.


This patient was brought into the emergency unit with an acute abdomen due to a gastric perforation. b In another patient positioned on the left side and imaged with a horizontal x-ray beam, an air depot is present between the liver, the diaphragm, and the abdominal wall (arrow). This patient underwent abdominal surgery two days before Indications. In children, abdominal x-ray is indicated in the acute setting: Suspected bowel obstruction or gastrointestinal perforation; Abdominal x-ray will demonstrate most cases of bowel obstruction, by showing dilated bowel loops.; Foreign body in the alimentary tract; can be identified if it is radiodense.; Suspected abdominal mass ; In suspected intussusception, an abdominal x-ray does. The acute abdomen. Correspondence to: G I van Boxel gijs.vanboxel@gmail.com. A 45 year old woman presented to the emergency department with an eight hour history of sudden onset abdominal pain. The pain was severe, sharp, and worse on movement. She felt nauseous but had not vomited

Abdomen AP Erect for Acute Abdomen. Purpose and Structures Shown To demonstrate the abdominal cavity in a patient diagnosed with gut perforation, intestinal obstruction, or other types of acute abdomen in patients who are ambulatory.. Position of patient Standing erect with the abdomen pressed against the cassette holder.The patient should be asked to stop breathing while the exposure is taken Acute Otomastoiditis Acute and Subacute Bacterial Otomastoiditis. Acute and Subacute Bacterial Otomastoiditis Temporal Bone & Skull Base Osteomyelitis Temporal Bone & Skull Base Osteomyelitis. Skull Base Osteoyelitis Plain Film Radiography Abdominal Plain Film. Overview and Sample Cases; Practice Cases AP Portable Chest. Overview and Sample. ABSTRACT : In 95 patients with acute abdominal pain seen in the emergency ward of a large urban teaching hospital, real-time sonography was performed in conjunction with a plain film of the abdomen in order to detect what, if any, added information was provided by the sonographic examination

Imaging Patients with Acute Abdominal Pain Radiolog

acute abdominal pain so severe that the patient seeks medical attention (note : NOT the same as ''surgical abdomen ; most cases of ''acute abdomen don't need surgery) upright abdominal film abdominal xray (if patient can't stand, left lateral decubitus abdominal film IMAGING OF. ACUTE ABDOMEN INTRODUCTION • Acute abdomen is a term used to encompass a spectrum of surgical, medical and gynecological conditions (intra-abdominal process), ranging from the trivial to the life threatening, which require hospital admission, investigation and treatment • Assesing the patient with an acute abdomen need many investigation including laboratory test and. Assesing the patient with an acute abdomen need many investigation including laboratory test and imaging studies?plain photo, US, CT and contrast study . 4 Imaging studies. Plain abdominal films erect chest film, supine, and upright (optionalleft lateral decubitus) Abdominal US ; Abdominal CT; 5 Plain abdominal film. Table 1 Plain abdominal. The acute abdomen may be defined as an intra-abdominal lesion which, apart from appro-priate treatment, immediatelythreatens the life of a patient. In England, with a population of nearly 42 millions, considerably more than I2,000 people die annually from what is called an acute abdomen. The annual crude death4ate fro The routine X-ray projection is the supine abdominal film and should include the diaphragms and the symphysis pubis. A child admitted with acute abdominal pain. This erect abdomen included enough of the lungs to show the cause. There is ill-defined alveolar shadowing adjacent to the L diaphragm The child had acute pneumonia

The Acute Abdomen - Causes - Management - TeachMeSurger

An illustration of two cells of a film strip. Video. An illustration of an audio speaker. Audio. An illustration of a 3.5 floppy disk. Software An illustration of two photographs. The early diagnosis of the acute abdomen by Cope, Zachary, Sir, 1881-1974. Publication date 1972 Topics Acute abdomen, Abdomen, Acute Publisher London, Oxford. Acute Abdomen (Overview) Source: Department of Health Western Australia - Diagnostic Imaging Pathways (Add filter) 01 January 2012. This pathway provides guidance for imaging adult patients with non-traumatic acute abdominal pain. An approach is used based on categorization of symptoms with associated links to more specific..

PPT - Introduction to Radiology PowerPoint Presentation

Acute Abdomen Concise Medical Knowledg

  1. Bowel perforation is an acute surgical emergency where there is a release of gastric or intestinal contents into the peritoneal space. On this page: Article: Reference article. Summary. Role of imaging. Radiographic features. Related articles. Images
  2. al xray --- everything you need to know for..
  3. al Emergency Medicine, in collaboration with four other medical societies, launched the Practice Guidelines for Primary Care of Acute Abdomen that were the first English guidelines in the world for the management of acute abdomen
  4. Acute cholecystitis begins suddenly, resulting in severe, steady pain in the upper abdomen. At least 95% of people with acute cholecystitis have gallstones. The inflammation almost always begins without infection, although infection may follow later. Inflammation may cause the gallbladder to fill with fluid and its walls to thicken
  5. al film in a patient with an acute abdomen, showing no abnormalities. [radiologyassistant.nl] It is important to remember the possibility of infected urachal remanants in a patient presenting with an acute surgical abdomen in the emergency department
  6. al pain. The scout film following the CTscan of the abdomen shows right sided hydronephrosis with a suggestion of an obstruction at the level of the UPJ. 40292bc01 Courtesy Ashley Davidoff M

The plain abdominal x ray (AXR) is a commonly requested investigation in the emergency department (ED). The average AXR exposes the patient to 35 times the radiation dose of a chest x ray (0.7 mSv). 1 Anecdotally, the AXR is overused and unhelpful in the majority of conditions presenting to the ED. In the past, surgeons have requested an AXR as. Acute abdominal pain in children presents a diagnostic dilemma. Although many cases of acute abdominal pain are benign, some require rapid diagnosis and treatment to minimize morbidity. Numerous. A swollen abdomen is sometimes known as a distended abdomen or swollen belly. A swollen abdomen is often uncomfortable or even painful, but it's a common occurrence with a number of potential. You can't always wait for the report, so you need to know how to interpret an abdominal CT without one. Pete Thurley tells Jon Lund the secrets of radiology. The major difficulty in the creation of the algorithm was finding studies which had used specific clinical criterion to diagnose abdominal obstruction or perforation (the major two indications for plain film imaging in acute abdominal pain), thus indicating the need for plain radiograph or CT

Palpation: a rigid abdomen is a hallmark sign for an acute abdomen and implies severe peritoneal irritation with reflex involuntary guarding. It is generally only encountered with perforated peptic ulcer (with generalized release of gastric acid). Aortic wall calcification on the kidney, ureters, bladder film may indicate the presence of an. Acute myeloid leukemia (AML) is a cancer of the myeloid line of blood cells, characterized by the rapid growth of abnormal cells that build up in the bone marrow and blood and interfere with normal blood cell production. Symptoms may include feeling tired, shortness of breath, easy bruising and bleeding, and increased risk of infection. Occasionally, spread may occur to the brain, skin, or gums An acute abdominal condition should be described as acute abdomen when a patient complains of abdominal pain that persists for more than a few hours and is associated with tenderness or other evidence of an inflammatory reaction or a visceral dysfunction.The diagnosis of the cause of acute abdominal conditions remains one of the most challenging problems in medicine A comprehensive database of more than 26 abdomen quizzes online, test your knowledge with abdomen quiz questions. Our online abdomen trivia quizzes can be adapted to suit your requirements for taking some of the top abdomen quizzes Acute pancreatitis is an acute inflammation of the pancreas commonly caused by gallbladder disease or chronic alcohol intake. Symptoms often include abdominal pain, nausea, vomiting, anorexia, abdominal guarding and rigidity, decreased or absent bowel sounds. Elevated WBCs, generalized jaundice, and hypotension and tachycardia may also be present

A previously healthy 3-week-old boy presented with 5 hours of marked fussiness, abdominal distention, and poor feeding. He was afebrile and well perfused. His examination was remarkable for localized abdominal tenderness and distention. He was referred to the emergency department in which an abdominal radiograph revealed gaseous distention of the bowel with a paucity of gas in the pelvis Symptomatic patients may present with abdominal pain, persistent cough and night sweats . However, in heavy infestation as seen in our patient, the migration of many live larvae beneath the peritoneum or pleura may cause sufficient irritation and pain to mimic an acute abdominal condition or pleurisy A 32-year-old man is admitted to the hospital with 2 days of constant, moderately severe epigastric pain, radiating to the back and associated with nausea and vomiting. He denies fevers, chills, sweats, change in weight, hematemesis, melena, hematochezia, or jaundice. He has consumed 12-18 beers per day for the past 10 years, but his past medical history is otherwise unremarkable An acute abdomen series is ordered on this patient. Which of the following is the reason for this order? A) Verify diagnosis B) Identify current inflammation C) Identify location of gallstones D) Verify current infection. nuclear medicine. Which imaging modality is most effectively used to evaluate GI motility and reflux? D The term acute abdomen refers to abdominal symptoms and signs of such severity or concern that disorders requiring surgery should be considered. [msdmanuals.com] ileus , hypothermia, leukocytosis, or other signs or symptoms of infection should prompt a diagnostic paracentesis for ascitic fluid analysis and culture ( Figure 1 )


Abdominal Film (X-Ray): Purpose, Procedure & Result

  1. al film (kidney-ureter-bladder view) is important to assess the radio-opacity of stone, to monitor stone progression, and to guide shock wave lithotripsy. x In a patient with recurrent stones, in addition to the baseline investigations, a 24 hour urine assessment should be done for urine volume and calcium, oxalate, uric acid, citrate, urine sodium, and creatinine excretion
  2. al pain during the period of 1st of November, 2017 to 31st of January, 2018. • To compare the result of plain abdo
  3. al pain is a common reason for emergency department attendance. abdo

Chapter 8. Plain Film of the Abdomen Radiology Ke

  1. al films consist of supine and upright views. If the patient cannot stand for an erect abdo
  2. al X-rays are often entirely normal in inflammatory bowel disease. Occasionally there are signs of acute inflammation indicated by bowel wall thickening. This image demonstrates extensive bowel wall thickening throughout the entire colon. Thickening of the haustral folds results in a 'thumbprinting' appearance ( arrowheads )
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  4. An illustration of two cells of a film strip. Video. An illustration of an audio speaker. Audio. An illustration of a 3.5 floppy disk. Software An illustration of two photographs. The acute abdomen by Battle, William Henry. Publication date 1914 Topics Abdomen -- Surgery Publisher Toronto, Macmillan Collectio

Abdominal plain film findings in acute ischemic bowel

Choledocholithiasis presenting as an acute abdomen in an 8-year-old boy. a Plain film shows a paraspinal calcification (arrow). b US demonstrates a calculus (arrow) in the distal choledochus (C) producing dilatation of the proximal bile duct in the porta hepatis, separated from the gallbladder and communicated with the biliary ductal system (to. Clinical Characteristics of the Acute Abdomen. Since pain is the most prominent presenting complaint in a patient with an acute abdomen, it is important to know the origin, location, radiation and character of abdominal pain in order to understand its significance. The perception of abdominal pain is first visceral and then becomes somatic. The.

Plain Film Diagnosis of the Acute Abdomen - sciencedirect

Background Abdominal Radiographs. Abdominal radiographs are part of routine diagnostic workup in patients presenting with an acute abdomen or abdominal trauma. They are obtained using conventional X-ray beams and represent the cornerstone of patient management before using computed tomography (CT). Abdominal radiographs generally entail an anteroposterior supine view with the patient in a. abdominal radiographs divided by the number of patients who have abdominal radiographs. P<.001 unless otherwise noted. † p<.005 Don't leave ill patients alone in x-ray ! Sonography Indications for ultrasound scanning in patients with acute abdominal pai

In recent years the increasing use of ultrasonography and computed tomography in the assessment of diseases causing acute abdomen and the diagnostic possibilities of magnetic resonance have decreased the role of conventional radiology techniques, especially of plain abdominal film in the diagnosis of acute abdomen ically stable with abdominal tenderness in the right upper quadrant with focal guarding. He was febrile and had a leukocytosis. Chest plain film showed what appeared to be air under the right hemidiaphragm (Figure 1A). A CT of the abdomen did not reveal any traumatic injury but did demonstrate a grossly dilated cecum up to 18 cm. I G-2d2 Consent Form for Imaging of the Abdomen or Pelvis in Pregnancy where the Dose is 1-5 rem; G-2d2 Consent Form for Imaging of the Abdomen or Pelvis in Pregnancy where the Dose is Greater than 50mSv (5 rem) Procedure for Imaging Patients that are Pregnant Utilizing an MRI Scanner; Radiology Quality and Compliance. Controlled Substance Co. Two different series collected at the University Hospital of Freiburg are presented as a basis for the critical appraisal of available imaging tests and their correlation with anatomic pain sites. The first series comprises 284 patients of non-traumatic acute addomen admitted to the emergency department during 1990. The radiological approach revealed an increased use of immediate ultrasound.

(E) An abdominal plain film showing the kidneys, ureters and bladder (KUB) film, or kidneys, ureters, bladder x-ray is similar to an abdominal plain film and is useful in beginning a workup for a patient with suspected renal or ureteral stones Acute appendicitis is a common clinical entity in pediatrics. In many patients, it is easy to make the diagnosis clinically with certainty, and no imaging is required prior to appendicectomy. However, imaging of the abdomen is now commonly used in children with right lower quadrant pain, even when the clinical diagnosis may be clearcut; however. Abstract. Plain films are the initial, and frequently only, radiological investigation of the acute abdomen. At least a supine and a horizontal beam film, such as an erect chest film, should be obtained.Positive findings are present in 50% of cases, although frequently they are non-specific or misleading. Films for investigating the acute abdomen are listed in Table 24.1 There are features visible on a plain abdominal X-ray that may help locate the level of obstruction. These are partly determined by a knowledge of small and large bowel anatomy. See the page on normal Bowel Gas Pattern. Dilatation >3cm of the small bowel is considered abnormal, however the longer the segment of bowel that is dilated, the more.

Acute Abdomen-Radiology - SlideShar

[Acute abdomen film: is there hope of changing referring

Acute abdomen was the presenting manifestation of pseudomembranous colitis in six men who had previously been treated with antibiotics and pre- sented with abdominal distention, pain, fever, and leukocytosis with absent or mild diarrhea. Plain abdominal radiographs revealed megacolon in two Acute intestinal obstruction: standing and supine abdominal plain film, CT and other testings may suggest the nature and location of obstruction, and rule out abdominal wall defects and incarcerated hernia masses ACUTE ABDOMEN. Is the most common presenting surgical emergency. It has been estimated that at least 50% of general surgical admissions are emergencies and 50% of them present with acute abdominal pain. Studies have shown a 30-day mortality of 4% among patients admitted with acute abdomen. So, it represents a significant part of the general.

Acute abdominal series - WikE

An upright film of the chest and abdomen will reveal air under the diaphragm in about 85Z of the cases. This is pathognomonic of a perforated ulcer, in conjunction with the characteristic history and physical findings already described. Acute pancreatitis may be difficult to distinguish from a perforated ulcer. Many patients with pancreatitis. Henoch-Schönlein purpura (HSP), also known as IgA vasculitis, is a systemic vasculitis which is the most common vasculitis in children. The incidence in adults varies from 3.4 to 14.3 cases per million.[1][1] The classic triad of symptoms include purpuric rash, arthritis and abdominal pain. We present the case of a 20-year-old male with HSP who presented with recurrent episodes of abdominal. Specifically, in cases of acute abdomen complain [6]. The sensitivity, specificity, and accuracy of unenhanced helical CT are 96.0%, 95.1%, and 95.6%, respec- tively. But, radiograph series of acute abdominal was reported to have an overall sensitivity, specificity, and ac- curacy of 30.0%, 87.8%, and 56%, respectively [7] Acute Appendicitis . Arrowheads point to a soft-tissue mass producing deformity of the cecal air. I: Ileus. Appendicolith. Findings: Plain film showing appendicolith. Arrow points to ileus. Appendicolith may be seen without clinical signs of appendicitis. What are the radiological findings of appendicitis in abdomen CT? Ileus: Dilated loops of.

Abdominal Plain Film Findings in Acute Ischemic Bowel

Perforated hollow viscus is a life-threatening cause of abdominal pain and carries a mortality of 30-50%. This diagnosis is first suspected on through a careful history, a thorough examination, attention to abnormal vital signs, and a broad differential diagnosis in ill patients with abdominal pain Limited observational evidence (case reports and case series) also suggests that topical capsaicin cream (supplied in concentrations of 0.025 to 0.1 percent) applied once in a thin film over the abdomen may improve acute severe abdominal pain and emesis in patients not responsive to ondansetron or benzodiazepines . Evidence is lacking to. Acute abdomen is medical shorthand for acute abdominal pain, usually accompanied by vomiting, constipation, and changes in genitourinary function. The word acute usually means a condition is brewing rapidly. For this reason, Contrast media may be used to enhance the film Trans abdominal ultrasound (S/S = 54/88) CT with PO and bolus IV contrast (S/S = 100/25) What are the anticipated imaging findings of acute pancreatitis in plain film? Abdominal x-ray is not diagnostic, but may show: Calcification in the pancreas Mass from a pseudo cys

Scout Film of the Abdomen Radiolog

Acute Abdomen. World Small Animal Veterinary Association World Congress Proceedings, 2015. Amanda Boag1, MA, VetMB, DACVIM, DACVECC, DECVECC, MRCVS. 1 Vets Now, Dunfermline, Scotland, UK. The term acute abdomen is commonly used to refer to patients presenting with a rapid onset of acute abdominal pain. However, a more encompassing definition. Acute definition is - characterized by sharpness or severity of sudden onset. How to use acute in a sentence. Ways to be acute Synonym Discussion of acute A 49-year-old man presented to the accident and emergency department, with a short history of vague abdominal pain, abdominal distension and two episodes of frank haematuria. A plain chest film showed dilated loops of large bowel and blood results on admission showed an acute kidney injury (stage 3). A diagnosis of bowel obstruction was made initially but a CT scan of the abdomen showed. Protruding bulge. This is the most common hernia symptom, and for many people, the easiest thing to notice.The most common areas in which a bulging hernias are noticed include the groin (inguinal hernia or femoral hernias), the belly button (umbilical hernia) and the site of a prior abdominal surgery (ventral or incisional hernias).The bulge may vary in size

RadiographySupine abdominal radiograph of a neonate with NEC showsX Ray Normal AbdomenIleocolic intussusception in a premature neonate | BMJNew Page 2 [wwwFULL TEXT - Generalized chloromas with multiple cranial

Hematological malignancies (mainly non-Hodgkin's lymphoma, chronic myeloid leukemia and acute lymphoblastic leukemia) comprise the majority of the neoplastic causes, with solid tumors rarely reported in the literature (such as hepatocellular [] and pancreatic carcinoma []).The investigation of choice for confirming the diagnosis is computed tomography (CT) of the abdomen [], which has a. Bender JS, Ratner LE, Magnuson TH, Zenilman ME. Acute abdomen in the hemodialysis patient population. Surgery 1995; 117:494. Flobert C, Cellier C, Berger A, et al. Right colonic involvement is associated with severe forms of ischemic colitis and occurs frequently in patients with chronic renal failure requiring hemodialysis The first case was a 58-year-old woman with acute diffuse abdominal pain of 1 day's duration. Plain film showed a linear calcified density, compatible with a fishbone, in the right abdomen (figure 1A). CT confirmed that a fishbone had perforated the small bowel on the right side (figure 1B). The second case was a 60-year-old man with a right. Abdominal pain is the most common emergency department (ED) chief complaint in adult patients. In the US, abdominal pain is responsible for more than 7 million ED visits per year. Despite this frequency, it remains a challenging complaint due to the large number of possible etiologies and widely variable clinical presentations A.Acute abdomen is defined as pain, which arises suddenly and is usually less than 48 hours duration. Acute abdomen sometimes requires urgent surgical intervention, but not always. B.Nontraumatic pain in the abdominal region with an onset of less than a few days and has worsened progressively until presentation. C.Conditions categorized under. family history of acute porphyria, female gender predominates, nutritional alterations (e.g., fasting, dieting), intercurrent illness, and exposure to drugs or hormones known to provoke attacks of AIP; intermittent acute severe abdominal pain for days with symptoms out of proportion to the physical exam, often epigastric and colicky; nausea, vomiting; psychiatric symptoms (minor behavioral.

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