Diagnostic strategy in acute abdominal pains;Stratégie des explorations des douleurs abdominales

EMC - Medecine

Volumn 1, Issue 3, 2004, Pages 194-209

  Wind, P ^a   Malamut, G ^b   Cuenod C A ^c   Benichou J ^a  

^a AVICENNE HOSPITAL   (France)

^b HÔPITAL SAINT ANTOINE   (France)

^c HÔPITAL EUROPÉEN GEORGES POMPIDOU   (France)

Author keywords

Abdominal pain; Acute pancreatitis; Diagnostic strategy; Intestinal ischaemia; Intestinal occlusion; Peritonitis

Indexed keywords

EID: 33645720381     PISSN: 17624193     EISSN: 17624193     Source Type: Journal    
DOI: 10.1016/j.emcmed.2004.02.004     Document Type: Short Survey

References (100)

1. Adedeji OA, McAdam WA. Murphy's sign, acute cholecystitis and elderly people. J R Coll Surg Edinb 1996;41:88-89.
2. Ahn SH, Maho-Smith WW, Murphy BL, Reinert SE, Cronan JJ. Acute non traumatic abdominal pain in adult patients: abdominal radiography compared with CT evaluation. Radiology 2002;225:159-164.
3. Alpern MB, Glazer GM, Francis IR. Ischemic or infarcted bowel: CT findings. Radiology 1988;166:149-152.
4. al-Saigh AH. C-reactive protein in the differential diagnosis of the acute abdomen, especially acute appendicitis. J R Coll Surg Edinb 1992;37:238-240.
5. Ambrosetti P, Grossholz M, Becker C, Terrier F, Morel P. Computed tomography in acute left colonic diverticulitis. Br J Surg 1997;84:532-534.
6. Arnbjornsson E. Bacteriuria in appendicitis. Am J Surg 1988;155:356-358.
7. Ballantyne GH. Review of sigmoid volvulus. Clinical patterns and pathogenesis. Dis Colon Rectum 1982;25:494.
8. Balthazar EJ, Birnbaum BA, Megibow AJ, Gordon RB, Whelan CA, Hulnick DH. Closed-loop and strangulating intestinal obstruction: CT signs. Radiology 1992;185: 769-775.
9. Balthazar EJ, Birnbaum BA, Yee J, Megibow A, Roshkow J, Gray C. Acute appendicitis: CT and US correlation in 100 patients. Radiology 1994;190:31-35.
10. Balthazar EJ, Freeny PC, Van Sonnenberg E. Imaging and intervention in acute pancreatitis. Radiology 1994;193: 297-306.
11. Balthazar EJ, Robinson DL, Megibow AJ, Ranson JH. Acute pancreatitis: value of CT in establishing prognosis. Radiology 1990;174:331-336.
12. Balthazar EJ, Yen BC, Gordon RB. Ischemic colitis: CT evaluation in 54 cases. Radiology 1999;211:381-388.
13. Bennett DH, Tambeur L, Campbell WB. Use of coughing test to diagnose peritonitis. Br Med J 1994;308:1336.
14. Berger A, Mamzer-Bruneel MF, Wind P, Cuenod CA, Buisson C, Cugnenc PH. Opaque enama CT scan allows early diagnosis of non-occlusive right colonic ischaemia in dialysis patients. Nephrol Dial Transplant 1997;12:2179-2181.
15. Bizer LS, Liebling RW, Delany HM, Gliedman ML. Small bowel obstruction: the role of nonoperative treatment in simple obstruction and predictive criteria for stangulation. Surgery 1981;89:407-413.
16. Boraschi P, Neri E, Braccini G, Gigoni R, Caramella D, Perri G, et al. Choledocolithiasis: diagnostic accuracy of MR cholangiopancreatography. Three-year experience. Magn Reson Imaging 1999;17:1245-1253.
17. Borrero E, Queral LA. Symptomatic abdominal aortic aneurysm misdiagnosed as nephroureterolithiasis. Ann Vasc Surg 1988;2:145-149.
18. Bower TC. Ischemic colitis. Surg Clin N Am 1993;73: 1037-1053.
19. Brewer RJ, Golden GT, Hitch DC, Rudolf LE, Wangensteen SL. Abdominal pain: an analysis of 1 000 consecutive cases in a university hospital emergency room. Am J Surg 1976;131:219-223.
20. Cacciatore B, Leminen A, Ingman-Friberg S, Ylostalo P, Paavonen J. Transvaginal sonographic findings in ambulatory patients with suspected pelvic inflammatory disease. Obstet Gynecol 1992;80:912-916.
21. Chapman AH, McNamara M, Porter G. The acute contrast enama in suspected large bowel obstruction: value and technique. Clin Radiol 1992;46:273-278.
22. Clavien PA, Burgan S, Moossa AR. Serum enzymes and other laboratory tests in acute pancreatitis. Br J Surg 1989;76: 1234-1243.
23. Davies AH, Bernau F, Salisbury A, Souter RG. C-reactive protein in right iliac fossa pain. J R Coll Surg Edinb 1991; 36:242-244.
24. de Dombal FT. Diagnosis of acute abdominal pain. New York: Churchill Livingstone; 1991.
25. de Dombal FT. Acute abdominal pain in the elderly. J Clin Gastroenterol 1994;19:331-335.
26. Deneuville M, Blum A, Delfau F, Tortuyaux JM, Bresler L, Régent D. Appendicites aiguës: apport de la tomodensitométrie dans la stratégie diagnostique et thérapeutique chez l'adulte et le sujet âgé. Rev Im Méd 1995;7:63-72.
27. Dixon JM, Elton RA, Rainey JB, Macleod DA. Rectal examination in patients with pain in the right lower quadrant of the abdomen. Br Med J 1991;302:386-389.
28. Earls JP, Dachman AH, Colon E, Garett MG, Molloy M. Prevalence and duration of postoperative pneumoperitoneum: sensitivity of CT vs left lateral decubitus radiography. AJR Am J Roentgenol 1993;161: 781-785.
29. Eisenberg RL, Heineken P, Hedgcock MW, Federle M, Goldberg HI. Evaluation of plain abdominal radiographs in the diagnosis of abdominal pain. Ann Intern Med 1982;97: 257-261.
30. Ericksen AS, Krasna MJ, Mast BA, Nosher JL, Brolin RE. Use of gastrointestinal contrast studies in obstruction of the small and large bowel. Dis Colon Rectum 1990;33:56-64.
31. Eriksson S, Granstrom L, Carlstrom A. The diagnostic value of repetitive preoperative analyses of C-reactive protein and total leucocyte count in patients with suspected acute appendicitis. Scand J Gastroenterol 1994;29:1145-1149.
32. Flack B, Rowley VA. Acute abdomen: plain film utilization and analysis. Can Assoc Radiol J 1993;44:423-428.
33. Flamant Y, Langlois-Zantin O, Barge J. ARC et AURC: les appendicectomies discutables. Gastroenterol Clin Biol 1990;14:A39 [abstract].
34. Ford RD, Passinault WJ, Morse ME. Diagnostic ultrasound for suspected appendicitis: does the added cost produce a better outcome? Am Surg 1994;60:895-898.
35. Frager D, Rovno HD, Baer JW, Bashist B, Friedman M. Prospective evaluation of colonic obstruction with computed tomography. Abdom Imaging 1998;23:141-146.
36. Fraser GM, Fraser ID. Gastrografin® in perforated duodenal ulcer and acute pancreatitis. Clin Radiol 1974;25:397-402.
37. Gazelle GS, Goldberg MA, Wittenberg J, Halpern EF, Pinkney L, Mueller PR. Efficacy of CT in distinguishing small-bowel obstruction from other causes of small-bowel dilatation. AJR Am J Roentgenol 1994;162:43-47.
38. Goldman SM, Fishman EK, Gatewood OM, Jones B, Brendler C, Siegelman SS. CT demonstration of colovesical fistulae secondary to diverticulitis. J Comput Assist Tomogr 1984;8:462-468.
39. Gore RM, Calenoff L, Rogers LF. Roentgenographic manifestations of ischemic colitis. JAMA 1979;241:1171-1173.
40. Gupta H, Dupuy DE. Advances in imaging of the acute abdomen. Surg Clin North Am 1997;77:1245-1263.
41. Heaton KW. Diagnosis of acute non-specific abdominal pain. Lancet 2000;255:1644.
42. Henley DS, Ralls PW, Johnson MB, Colletti PM, Radin DR, Boswell WD, et al. Sonography in gallbladder disease: efficacy and comparison with conventional sonography. J Clin Ultrasound 1988;16:563-568.
43. Hessler PC, Hill DS, Deforie FM, Rocco AF. High accuracy sonographic recognition of gallstones. AJR Am J Roentgenol 1981;136:517-520.
44. Hoddick W, Jeffrey RB, Federle MP. CT differenciation of portal venous air from biliary tract air. J Comput Assist Tomogr 1982;6:633-634.
45. Iida M, Matsui T, Fuchigami T, Iwashita A, Yao T, Fisjishima M. Ischemic colitis: serial changes in double contrast barium enama examination. Radiology 1986;159: 337-341.
46. Izbicki JR, Knoefel WT, Wilker DK, Mandelkow HK, Muller K, Siebeck M, et al. Accurate diagnosis of acute appendicitis: a retrospective and prospective analysis of 686 patients. Eur J Surg 1992;158:227-231.
47. Jacobs JM, Hill M, Steinberg WM. Peptic ulcer disease: CT evaluation. Radiology 1991;178:745-748.
48. Jeffrey RBJ, Laing FC, Townsend RR. Acute appendicitis: sonographic criteria based on 250 cases. Radiology 1988; 167:327-329.
49. Jordan GL. The acute abdomen. Adv Surg 1980;14: 259-315.
50. Karcz A, Holbrook J, Auerbach BS, Blau ML, Bulat PI, Davidson A, et al. Preventability of malpractice claims in emergency medicine: a closed claims study. Ann Emerg Med 1990;19:865-873.
51. Kostner FL, Hool GR, Lavery IC. Management and causes of acute large-bowel obstruction. Surg Clin North Am 1997; 77:1265-1290.
52. Lamki N, Raval B, St Ville E. Computed tomography of complicated cholecystitis. J Comput Assist Tomogr 1986; 10:319-324.
53. Lawrence PC, Clifford PC, Taylor IF. Acute abdominal pain: computer-aided diagnosis by non-medically qualified staff. Am R Coll Surg Engl 1987;69:233-234.
54. Lefevre F, Beot S, Chapuis F, Deneuville M, Gaucher H, Debelle L, et al. Computed tomography study of the sigmoid colon: discriminating diagnostic criteria and interobserver correlations. J Radiol 1999;80:447-456.
55. Levine MS, Scheiner JD, Rubesin SE, Laufer I, Herlinger H. Diagnostic of pneumoperitoneum on supine abdominal radiographs. AJR Am J Roentgenol 1991;156:731-735.
56. Lewis RF, Holcroft JW, Boey J, Dunphey JE. Appendicitis: a critical review of diagnosis and treatment in 1 000 cases. Arch Surg 1975;110:677-684.
57. Liddington MI, Thomson WH. Rebound tenderness test. Br J Surg 1991;78:795-796.
58. Madrazo BL, Halpert RD, Sandler MA, Pealberg JL. Computed tomographic findings in penetrating peptic ulcer. Radiology 1984;153:751-754.
59. Maglinte DD, Gage SN, Harmon BH. Obstruction of the small intestine: accuracy and role of CT in diagnosis. Radiology 1993;188:61-64.
60. Maglinte DD, Reyes BL, Harmon BH, Kelvin FM, Turner WWJ, Hage JE, et al. Reliability and role of plain film radiography and CT in the diagnosis of small-bowel obstruction. AJR Am J Roentgenol 1996;167:1451-1455.
61. Malone AJ, Wolf CR, Malmed AS, Melliere BF. Diagnosis of acute appendicitis: value of unenhanced CT. AJR Am J Roentgenol 1993;160:763-766.
62. Megibow AJ, Balthazar EJ, Cho KC, Medwid SW, Birnbaum BA, Noz ME. Bowel obstruction: evaluation with CT. Radiology 1991;180:313-318.
63. Menuck L, Siemers PT. Pneumoperitoneum: importance of right upper quadrant features. AJR Am J Roentgenol 1976; 127:753.
64. Miller RE, Nelson SW. The roentgenographic demonstration of tiny amounts of free intraperitoneal gas: experimental and clinical studies. AJR Am J Roentgenol 1971;112: 574-585.
65. Mirvis SE, Young JW, Keramati B, McCrea ES, Tarr R. Plain film evaluation of patients with abdominal pain: are three radiographs necessary. AJR Am J Roentgenol 1986;147: 501-503.
66. Ng CS, Watson CJ, Palmer CR, Choon See T, Beharry NA, Housden BA, et al. Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study. Br Med J 2002;325:1387-1390.
67. Orr RK, Porter D, Hartman D. Ultrasonography to evaluate adults for appendicitis: decision making based on meta-analysis and probabilistic reasoning. Acad Emerg Med 1995;2:644-650.
68. Pace S, Burke TF. Intravenous morphine for early pain relief in patients with acute abdominal pain. Acad Emerg Med 1996;3:1086-1092.
69. Parker JS, Vukov LF, Wollan PC. Abdominal pain in the elderly: use of temperature and laboratory testing to screen for surgical disease. Fam Med 1996;28:193-197.
70. Physicians AcoE. Clinical policy; critical issues for the initial evaluation and management of patients presenting with a chief complaint of nontraumatic acute abdominal pain. Ann Emerg Med 2000;36:406-415.
71. Rao PM, Rhea JT, Novelline RA, Mostafavi AA, McCabe CJ. Effect of computed tomography of the appendix on treatment of patients and use of hospital resources. N Engl J Med 1998;338:141-146.
72. Rioux M. Sonographic detection of the normal and abnormal appendix. AJR Am J Roentgenol 1992;158:773-778.
73. Riveron FA, Obeid FN, Horst HM, Sorensen VJ, Bivins BA. The role of contrast radiography in presumed bowel obstruction. Surgery 1989;106:496-501.
74. Sanson TG, O'Keefe KP. Evaluation of abdominal pain in the elderly. Emerg Med Clin North Am 1996;14:615-627.
75. Sarfati MR, Hunter GC, Witzke DB, Bebb GG, Smythe SH, Boyan S, et al. Impact of adjunctive testing on the diagnosis and clinical course of patients with acute appendicitis. Am J Surg 1993;166:660-664.
76. Sarr MG, Bulkley GB, Zuideman GD. Preoperative recognition of intestinal strangulation obstruction. Prospective evaluation of diagnostic capability. Am J Surg 1983;145: 176-182.
77. Scheiman JM, Carlos RC, Barnett JL, Elta GH, Nostrant TT, Chey WD, et al. Can endoscopic ultrasound or magnetic resonance cholangiopancreatography replace ERCP in patients with suspected biliary disease? A prospective trial and cost analysis. Am J Gastroenterol 2001;96:2900-2904.
78. Schwerk WB, Schwarz S, Rothmund M. Sonography in acute colonic diverticulitis: a prospective study. Dis Colon Rectum 1992;35:1077-1084.
79. Scott JHr, Amin M, Harty JI. Abnormal urinalysis in appendicitis. J Urol 1983;129:1015.
80. Sievert B, Raptopoulos V, Mueller MF, Rosen MP, Steer M. Impact of CT on diagnosis and management of acute abdomen in patients initially treated without surgery. AJR Am J Roentgenol 1997;168:173-178.
81. Silen W. Cope's early diagnosis of the acute abdomen. New York: Oxford University Press; 1996.
82. Silen W, Hein MF, Goldman L. Strangulation obstruction of the small intestine. Arch Surg 1962;85:137-145.
83. Singer AJ, McCracken G, Henry MC, Thode HC, Cabahug CJ. Correlation among clinical, laboratory, and hepatobiliary scanning findings in patients with suspected acute cholecystitis. Ann Emerg Med 1996;28:267-272.
84. Smith R, Levine J, Rosenfeld A. Helical CT of urinary tract stones: epidemiology, origin, pathophysiology, diagnosis and management. Radiol Clin North Am 1999;37:911-952.
85. Sourtzis S, Thibeau JF, Damry N, Raslan A, Vandendris M, Bellemans M. Radiologic investigation of renal colic: unenhanced helical CT compared with excretory urography. AJR Am J Roentgenol 1999;172:1491-1494.
86. Stapakis JC, Thickman D. Diagnosis of pneumoperitoneum: abdominal CT vs. upright chest film. J Comput Assist Tomogr 1992;16:713-716.
87. Stark JE, Siegel MJ. Ovarian torsion in prepubertal and pubertal girls: sonographic findings. AJR Am J Roentgenol 1994;163:1479-1482.
88. Steinberg W, Tenner S. Acute pancreatitis. N Engl J Med 1994;330:1198-1210.
89. Sturman MF. Medical imaging in acute abdominal pain. Compr Ther 1991;17:15-21.
90. Taourel PG, Deneuville M, Pradel JA, Regent D, Bruel JM. Acute mesenteric ischemia: diagnosis with contrast-enhanced CT. Radiology 1996;199:632-636.
91. Templeton AW. Colon sphincters simulating organic disease. Radiology 1960;75:237-241.
92. Timor-Tritsch IE, Yeh MN, Peisner DB, Lesser KB, Slavik TA. The use of transvaginal ultrasonography in the diagnosis of ectopic pregnancy. Am J Obstet Gynecol 1989;161: 157-161.
93. Tiret L, Rotman N, Hatton T, Fagniez PL. La chirurgie digestive en France. Une enquête épidémiologique nationale (1978-1982). Gastroentérol Clin Biol 1988;12: 354-360.
94. Wagner JM, Mckinney WP, Carpenter JL. Does this patient have appendicitis? JAMA 1996;276:1588-1594.
95. Welch JP. Mechanical obstruction of the small and large intestines. Surgical treatment of surgical disease. Chicago: Year Book Medical Publisher; 1990. p. 624-654.
96. Wexner SD, Thomas TH. The initial management of left lower quadrant peritonitis. Dis Colon Rectum 1986;29: 635-638.
97. Wind P, Douard R, Berger A, Cugnenc PH. Abdominal surgery in hemodialysis patients. Am Surg 1999;65: 347-351.
98. Wittenberg J, Athanasoulis CA, Williams LF, Paredes S, O'Sullivan P, Brown B. Ischemic colitis: radiology and physiopathology. Am J Roentgenol Radium Ther Nucl Med 1975;123:287-300.
99. Wolf EL, Spayregen S, Bakal CW. Radiology in intestinal ischemia. Plain film, contrast, and other imaging studies. Surg Clin North Am 1992;72:107-124.
100. Yamamoto W, Kono H, Maekawa M, Fukui T. The relationship between abdominal pain regions and specific diseases: an epidemiologic approach to clinical practice. J Epidemiol 1997;7:27-32.