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Chapter-63 Acute Abdomen

BOOK TITLE: Principles of Pediatric & Neonatal Emergencies

Author
1. Bhatnagar Shinjini
2. Bhatnagar Veereshwar
3. Bhatia Vidyut
ISBN
9788184489507
DOI
10.5005/jp/books/11182_63
Edition
3/e
Publishing Year
2011
Pages
12
Author Affiliations
1. All India Institute of Medical Sciences, New Delhi, India, Biology Center, Translational Health Science and Technology Institute, NCR Biotech Science Cluster, Gurugram, Haryana, India, Translational Health Science and Technology Institute, NCR Biotech Science Cluster, Faridabad, Haryana, India, Center for Diarrheal Diseases and Nutrition Research; All India Institute of Medical Sciences, New Delhi, India, Translational Health Science and Technology Institute, Faridabad, Haryana, India, Biology Center, Translational Health Science and Technology Institute, Gurgaon, Haryana, India, Pediatric Biology Center, Translational Health Science and Technology Institute, Gurgaon, Haryana, India, All India Institute of Medical Sciences, New Delhi, All India Institute of Medical Sciences, New Delhi, e-mail: shinjini_bhatnagar@rediffmail.com, All India Institute of Medical Sciences New Delhi
2. All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, e-mail: veereshwar@medinst.ernet.in, Sharda University, Greater Noida, Uttar Pradesh, India; All India Institute of Medical Sciences, New Delhi, India
3. All India Institute of Medical Sciences, New Delhi, India, Apollo Center for Advanced Pediatrics, Indraprastha Apollo Hospital, New Delhi, India, Indraprastha Apollo Hospitals, New Delhi, India, Indraprastha Apollo Hospital, New Delhi, India
Chapter keywords

Abstract

The term “acute abdomen” is a loosely defined condition that refers to a medical emergency in which there is sudden and severe pain in the abdomen with accompanying signs and symptoms that focus on an abdominal involvement. It also refers to a situation where an emergency management is required for an abdominal pathology. The symptomatic manifestation of this pathology may take the form of pain, vomiting, distension, obstipation, diarrhea, fever, hematemesis and/or melena and problems of micturition, in isolation or in various combinations. In addition, a variety of physical signs may be present. The evaluation of acute abdomen is one of the most difficult and challenging clinical problems in pediatric medical or surgical practice. Acute abdomen refers to a vast spectrum of disease processes, and therefore the clinician is faced with a complex situation requiring detailed and meticulous evaluation, persistent observation and monitoring and optimally timed appropriate medical or surgical intervention.

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