Acute abdomen. Definition

Medical Definition: acute abdomen

Clinical picture of abdominal pain, which occurs abruptly or acute, often caused by inflammation or a perforated intra-abdominal viscera. In many cases, treatment is surgical and urgent, to prevent or treat severe intra-abdominal sepsis and diagnose the specific cause of acute abdomen. Almost always accompanied by leukocytosis and tenderness to palpation of the affected area of ??the abdomen (visceral peritoneum and irritation, especially parietal). There is often fever and involuntary muscular contraction of the abdomen, diffuse or localized peritonitis. a) Causes of acute abdominal pain that may require surgery at some point: acute appendicitis, acute cholecystitis, acute diverticulitis, Meckel's diverticulitis, ruptured ectopic pregnancy, complicated Crohn's disease, hemoperitoneum, gynecological infections, ischemic bowel, toxic megacolon, intestinal obstruction; acute pancreatitis, perforation of small or large intestine, perforation of gastroduodenal ulcer, ruptured abdominal aortic aneurysm, rupture of tumor into the peritoneum, rupture or torsion of ovarian cyst, open or closed abdominal trauma. b) Causes of acute abdominal pain not requiring abdominal surgery: 1) Common: renal colic, abdominal discomfort, gastroenterocolitis. 2) Rare: diabetic ketoacidosis, acute cystitis, bloating, liver (liver, heart, liver hematoma, viral or drug hepatitis, hepatic infarction), acute scrotum, abdominal rectus muscle hematoma, myocardial infarction, digitalis toxicity, pneumonia and pleurisy basal acute pyelonephritis, Henoch-Schonlein purpura and other rheumatic diseases, urinary retention, peptic ulcer, uncomplicated uremia

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