Acute abdomen is defined as a “critical” situation with onset of symptoms of less than 24 hours, with severe abdominal and very severe general symptoms, requiring urgent medical or surgical treatment.
It is a frequent reason for consultation in routine medical practice and its management requires a great deal of experience and judgment, since the most catastrophic of phenomena may be preceded by very subtle symptoms and signs.
Severe pain in the abdomen
Persistent nausea and vomiting
Disorientation and confusion in the elderly
Skin with yellowish appearance
Intense tenderness of the abdomen to touch
Swelling of the abdomen
Inability to evacuate or expel gas
Lack of appetite
Emergency Abdominal Surgery is the one that the surgeon is forced to practice immediately, as the most important measure of treatment of the condition that imposes it.
A laparoscopy is a procedure used by a physician to look inside the abdomen (belly) and pelvis. It is done with a laparoscope, a thin, flexible tube with a light and a small video camera at one end.
Currently, laparoscopic surgery is both a diagnostic tool and can be used safely for surgical treatment in selected patients with acute abdominal pain, as well as in those in whom there is a high suspicion of an urgent cause and in whom imaging studies are inconclusive.
Dr. Javier Cisneros Lopez is a general surgeon specializing in anorectal pathology surgery in the city of Tijuana, Baja California Mexico with 26 years of experience and more than 7,000 procedures performed. If you have any symptoms or doubts regarding your health, schedule an appointment here to receive medical attention appropriate to your condition.
Acute abdomen is a clinical picture of abdominal pain, presenting abruptly or acutely, often caused by an inflammatory or performative process of an intra-abdominal hollow viscus.
The general surgeon is the surgical specialist who treats this pathology and is an expert in the digestive system. This specialty treats all surgical conditions of the digestive tract: esophagus, stomach, small intestine, colon, rectum and anus, as well as the liver, gallbladder and pancreas.
Acute abdominal pain, if not diagnosed or treated in time, can have a very high percentage of complications and mortality, mainly in elderly, diabetic or chronically ill patients.
A favorable prognosis requires that the patient with abdominal pain be evaluated by a general surgeon and that a series of blood and imaging studies be performed to corroborate the diagnosis and operate as soon as possible.
The diagnosis is clinical and must be made by a qualified general surgeon, but depending on the clinical suspicion some complementary tests may be necessary such as ultrasound of the abdomen, CT or MRI of the abdomen and pelvis, chest X-ray and blood or urine tests. The surgeon will perform the evaluation of the same and will determine the need for urgent intervention as soon as possible.
The treatment must be surgery, in this pathology can be performed in two ways: