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Pattern and presentation of acute abdomen in a Nigerian teaching hospital.
[typhoid]
Abdominal
pain
of
sudden
onset
is
the
hallmark
of
most
non-traumatic
emergency
surgical
presentations
.
This
presents
a
scenario
of
urgency
to
the
young
surgeon
who
has
to
determine
which
of
a
myriad
of
disease
conditions
the
patient
is
presenting
with
.
Such
a
physician
has
to
rely
on
experience
and
a
sound
knowledge
of
the
local
aetiological
spectrum
in
making
a
clinical
diagnosis
.
To
determine
the
epidemiology
and
aetiological
spectrum
of
diseases
presenting
as
acute
abdomen
in
the
adult
population
at
the
hospital
surgical
emergency
unit
.
Two
hundred
and
seventy-
six
patients
presenting
at
the
University
of
Ilorin
Teaching
Hospital
emergency
unit
and
managed
by
the
general
surgeons
between
1
(
st
)
of
May
2009
and
30
(
th
)
of
April
2010
were
recruited
and
followed-up
throughout
the
period
of
admission
.
The
biodata
and
clinical
information
inclusive
of
diagnosis
,
investigations
,
treatment
modality
and
outcome
were
entered
in
a
structured
questioner
.
Standardised
treatment
was
given
to
all
patients
and
difficulties
encountered
in
their
management
were
also
noted
.
The
data
collected
was
evaluated
using
SPSS
16
.
Acute
abdomen
constituted
9
.
6
%
of
total
surgical
emergency
admissions
with
patients
aged
16
-
45
years
constituting
78
.
3
%
.
The
commonest
cause
of
acute
abdomen
was
appendicitis
(
30
.
3
%
)
followed
by
intestinal
obstruction
(
27
.
9
%
)
,
perforated
typhoid
ileitis
14
.
9
%
and
peptic
ulcer
disease
(
7
.
6
%
)
,
respectively
.
The
result
from
the
study
is
similar
to
what
has
been
reported
in
other
tropical
settings
with
inflammatory
lesions
being
the
major
problem
.
There
is
also
a
rising
incidence
of
post-operative
adhesions
and
gradual
decline
in
incidence
of
obstructed
hernia
.
