Diagnostic pitfalls and accuracy of diagnosis in acute abdominal pain

Scandinavian Journal of Gastroenterology

Volumn 41, Issue 10, 2006, Pages 1126-1131

  Laurell, Helena ^a,c   Hansson, Lars Erik ^b   Gunnarsson, Ulf ^c  

^a MORA HOSPITAL   (Sweden)

^b SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^c UPPSALA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Acute abdominal pain; Decision making; Diagnosis; Sensitivity; Specificity; Validity

Indexed keywords

ACUTE ABDOMEN; ADULT; APPENDICITIS; ARTICLE; CONSTIPATION; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DIFFERENTIAL DIAGNOSIS; DISEASE DURATION; DIVERTICULITIS; DYSPEPSIA; EMERGENCY WARD; FEMALE; GALLSTONE; GYNECOLOGIC DISEASE; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MALIGNANT NEOPLASTIC DISEASE; MEDICAL DECISION MAKING; PEPTIC ULCER; PREDICTION; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY; SURGICAL APPROACH; URINARY TRACT INFECTION; VALIDATION PROCESS;

ABDOMEN, ACUTE; DIAGNOSIS, DIFFERENTIAL; EMERGENCIES; FEMALE; HOSPITALIZATION; HUMANS; SENSITIVITY AND SPECIFICITY;

EID: 33749022488     PISSN: 00365521     EISSN: 15027708     Source Type: Journal    
DOI: 10.1080/00365520600587485     Document Type: Article

References (20)

1. Klein MD, Rabbani AB, Rood KD, Durham T, Rosenberg NM, Bahr MJ, et al. Three quantitative approaches to the diagnosis of abdominal pain in children: practical applications of decision theory. J Pediatr Surg 2001;36:1375-80.
2. Eachempati S, Bonville D, Lubitz CC, Hydo LJ, Barie PS. Do preliminary interpretations (PI) of CT scans correlate with final interpretations (FI) in surgical patients (SP) with abdominal pain (AP) evaluated in the emergency department (ED)? J Surg Res 2003;114:292.
3. Gunnarsson U. Quality assurance in surgical oncology. Colorectal cancer as an example. Eur J Surg Oncol 2003;29:89-94.
4. de Dombal FT. Acute abdominal pain. An O.M.G.E. survey. Scand J Gastroenterol 1979;14 Suppl 56:29-43.
5. Boyd NF, Pater JF, Ginsburg AD. Observer variation in the classification of information from medical records. J Chronic Dis 1979;32:327-32.
6. Lamparelli MJ, Hoque HM, Pogson CJ, Ball AB. A prospective evaluation of the combined use of the modified Alvarado score with selective laparoscopy in adult females in the management of suspected appendicitis. Ann R Coll Surg Engl 2000;82:192-5.
7. Adams ID, Chan M, Clifford PC, Cooke WM, Dallos V, de Dombal FT, et al. Computer aided diagnosis of acute abdominal pain: a multicentre study. Br Med J (Clin Res Ed) 1986;293:800-4.
8. Sandhu GS, Redmond AD, Prescott MV. Non-specific abdominal pain: a safe diagnosis? J R Coll Surg Edinb 1995;40:109-11.
9. Lukens TW, Emerman C, Effron D. The natural history and clinical findings in undifferentiated abdominal pain. Ann Emerg Med 1993;22:690-6.
10. O'Byrne JM, Dempsey CB, O'Malley MK, O'Connell FX. Non-specific abdominal pain in pre-menopausal women. Ir J Med Sci 1991;160:344-6.
11. Sheridan WG, White AT, Havard T, Crosby DL. Non-specific abdominal pain: the resource implications. Ann R Coll Surg Engl 1992;74:181-5.
12. Barker A, Mayou R. Psychological factors in patients with non-specific abdominal pain acutely admitted to a general surgical ward. J Psychosom Res 1992;36:715-22.
13. Urban BA, Fishman EK. Targeted helical CT of the acute abdomen: appendicitis, diverticulitis, and small bowel obstruction. Semin Ultrasound CT MR 2000;21:20-39.
14. Irvin TT. Abdominal pain: a surgical audit of 1190 emergency admissions. Br J Surg 1989;76:1121-5.
15. Zhou H, Chen YC, Zhang JZ. Abdominal pain among children. Re-evaluation of a diagnostic algorithm. World J Gastroenterol 2002;8:947-51.
16. Brewer BJ, 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;131:219-23.
17. Thomson HJ, Jones PF. Active observation in acute abdominal pain. Am J Surg 1986;152:522-5.
18. Rozycki GS, Tremblay L, Feliciano DV, Joseph R, DeDelva P, Salomone JP, et al. Three hundred consecutive emergent celiotomies in general surgery patients: influence of advanced diagnostic imaging techniques and procedures on diagnosis. Ann Surg 2002;235:681-8, discussion: 688.
19. Chi CH, Shiesh SC, Chen KW, Wu MH, Lin XZ. C-reactive protein for the evaluation of acute abdominal pain. Am J Emerg Med 1996;14:254-6.
20. Gunnarsson U, Seligsohn E, Jestin P, Påhlman L. Registration and validity of surgical complications in colorectal cancer surgery. Br J Surg 2003;90:454-9.