CO-RELATION BETWEEN PRE-OPERATIVE IMAGING FINDINGS AND PER-OPERATIVE FINDINGS IN ACUTE ABDOMEN

Abstract :

The term acute abdomen refers to a sudden, severe abdominal pain that is less than 24 hours in duration. It is in many cases an emergent condition requiring urgent and specific diagnosis. Several causes need surgical treatment.Abdominal pain can be one of the symptoms associated with transient disorders or serious disease. Making a definitive diagnosis of the cause of abdominal pain can be difficult, because many diseases can result in this symptom. Abdominal pain is a common problem. Most frequently the cause is benign and/or self-limited, but more serious causes may require urgent intervention.Many new diagnostic and management aids have been introduced into the surgical decision-making process over the past decade or so to improve clinical performance. Correct pre-operative diagnosis of acute abdomen remains challenging despite good history taking and clinical examination, and improvement in new imaging techniques including computer -aided diagnosis, ultrasound imaging, computed tomography and laparoscopy.These new imaging techniques need sophisticated equipments and specialist expertise round the clock which is not feasible in our part of the world.Hence we have tried studying the accuracy of clinical corelation between these newer modalities of diagnosis and intraoperative diagnosis.AIM AND OBJECTIVES All the abdominal emergencies which cause acute pain in the abdomen and requires surgical intervention:1. To assess the intra-operative findings in the cases after the pre-operative work-up including imaging techniques. 2. To co-relate between pre-operative diagnosis by imaging and intra-operative findings. 3. To assess whether there is discrepancy in the pre-operative diagnosis and per-operative findings :a)In the pre-operative imaging diagnosis with intraoperative findings.b)Whether additional investigation/ investigations (imaging techniques) would have made significant improvement in diagnostic accuracy.

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