acute abdomen


Summary: A clinical syndrome with acute abdominal pain that is severe, localized, and rapid in onset. Acute abdomen may be caused by a variety of disorders, injuries, or diseases.

Top Publications

  1. Bennett G, Harvey W, Slywotzky C, Birnbaum B. CT of the acute abdomen: gynecologic etiologies. Abdom Imaging. 2003;28:416-32 pubmed
  2. Palanivelu C, Rangarajan M, Maheshkumaar G, Rajan P. Relaparoscopy in the management of acute abdomen due to localized ischemic bowel: a novel technique--case report. Int J Surg. 2008;6:e89-91 pubmed
    Diagnostic and therapeutic laparoscopy for acute abdomen has been widely reported in the literature. Diagnostic laparoscopy has an accuracy of 99.08% and 1% morbidity...
  3. Akyildiz H, Sozuer E, Akcan A, Kucuk C, Artis T, Biri I, et al. The value of D-dimer test in the diagnosis of patients with nontraumatic acute abdomen. Ulus Travma Acil Cerrahi Derg. 2010;16:22-6 pubmed
    ..In these patients, it is very important to distinguish between surgical and nonsurgical pathology. Our aim was to compare the accuracy of the leukocyte count and D-dimer test in the diagnosis of acute abdomen.
  4. Nega B. Pattern of acute abdomen and variables associated with adverse outcome in a rural primary hospital setting. Ethiop Med J. 2009;47:143-51 pubmed
  5. Priola A, Priola S, Cataldi A, Marci V, Fava C. Acute abdomen as an unusual presentation of hepatic PEComa. A case report. Tumori. 2009;95:123-8 pubmed
    ..Intralesional hemorrhage was causing abdominal distension, which progressed to acute abdomen soon after. The hemoglobin concentration was 9.9 g/dL...
  6. Baburaj P, Antony T, Louis F, Harikrishnan B. Acute abdomen due to acute pancreatitis--a rare presentation of leptospirosis. J Assoc Physicians India. 2008;56:911-2 pubmed
    ..Apart from the typical clinical features; elevated serum lipase or elastase-1, along with radiological evidence and positive leptospiral serology confirms this rare association...
  7. Galea L, Andrejevic P, Vassallo M. A strange case of acute abdomen. South Med J. 2009;102:186-7 pubmed publisher
    A 30-year-old male suffered from acute abdomen following duodenal biopsy taken at esophagogastroduodenoscopy (EGD)...
  8. Foinant M, Lipiecka E, Buc E, Boire J, Schmidt J, Garcier J, et al. [Impact of computed tomography on patient's care in nontraumatic acute abdomen: 90 patients]. J Radiol. 2007;88:559-66 pubmed
    To determine the contribution of computerized tomography (CT) to the management of nontraumatic acute abdomen, to evaluate interobserver agreement and the contribution of CT to cost control, to look for the predictive factors of CT.
  9. Kusaslan R, Sahin D, Belli A, Dilek O. Rupture of a mesenteric hydatid cyst: a rare cause of acute abdomen. Can J Surg. 2007;50:E3-4 pubmed

More Information


  1. Langell J, Mulvihill S. Gastrointestinal perforation and the acute abdomen. Med Clin North Am. 2008;92:599-625, viii-ix pubmed publisher
    The acute abdomen accounts for up to 40% of all emergency-surgical hospital admissions and is considered in the differential in the more than 7 million visits to the emergency department annually for abdominal pain in the United States...
  2. Ibis C, Sezer A, Batman A, Baydar S, Eker A, Unlu E, et al. Acute abdomen caused by brucellar hepatic abscess. Asian J Surg. 2007;30:283-5 pubmed
    ..We present a case of hepatic abscess caused by Brucella, which resembled the clinical presentation of surgical acute abdomen.
  3. Kilpatrick C, Monga M. Approach to the acute abdomen in pregnancy. Obstet Gynecol Clin North Am. 2007;34:389-402, x pubmed
    ..The reported incidence of adnexal masses and fibroids in pregnancy may increase with increasing use of first-trimester ultrasound. Conservative management, with surgical management postpartum, appears reasonable in most cases...
  4. Palanivelu C, Rangarajan M, Shetty A, Jani K. Intestinal malrotation with midgut volvulus presenting as acute abdomen in children: value of diagnostic and therapeutic laparoscopy. J Laparoendosc Adv Surg Tech A. 2007;17:490-2 pubmed
    ..Normal rotation takes place around the superior mesenteric artery. Incomplete rotation and midgut volvulus is the commonest type of anomaly. Intestinal obstruction is the commonest presentation in symptomatic cases...
  5. Nanda S, Gupta A, Dora A, Gupta A. Acute pancreatitis: a rare cause of acute abdomen in pregnancy. Arch Gynecol Obstet. 2009;279:577-8 pubmed publisher
    ..A case of idiopathic pancreatitis in pregnancy has been reported. Pancreatitis often presents as an acute abdomen and can have lethal effect on the mother and the fetus.
  6. Stoker J. Magnetic resonance imaging and the acute abdomen. Br J Surg. 2008;95:1193-4 pubmed publisher
  7. Kobayashi M, Komatsu N, Kuwayama Y, Bandobashi K, Kubota T, Uemura Y, et al. Idiopathic hypereosinophilic syndrome presenting acute abdomen. Intern Med. 2007;46:675-8 pubmed
    We describe a 27-year-old man with hypereosinophilc syndrome (HES) presenting acute abdomen due to acute thrombosis of the mesenteric artery, who had a past history of eosinophilic pneumonia followed by multiple arterial thromboses of ..
  8. Schanz A, Richter J, Beyer I, Baldus S, Hess A, Kruessel J. Genital schistosomiasis as a cause of female sterility and acute abdomen. Fertil Steril. 2010;93:2075.e7-9 pubmed publisher
    ..To report the case of a Nigerian patient who suffered from sterility and underwent abdominal laparotomy to remove an adnexal tumor. Histologic analysis revealed Schistosoma haematobium ova...
  9. Singh R, Singh D, Abdou N. Churg-Strauss syndrome presenting as acute abdomen: are gastrointestinal manifestations an indicator of poor prognosis?. Int J Rheum Dis. 2009;12:161-5 pubmed publisher
  10. Blackham R, Little M, Baker S, Augustson B, MacQuillan G. Unsuspected colchicine overdose in a female patient presenting as an acute abdomen. Anaesth Intensive Care. 2007;35:437-9 pubmed
  11. Singh A, Danrad R, Hahn P, Blake M, Mueller P, Novelline R. MR imaging of the acute abdomen and pelvis: acute appendicitis and beyond. Radiographics. 2007;27:1419-31 pubmed
  12. Yoshikawa T, Noguchi Y, Takeda A, Ishiwa N, Hasegawa S, Shotsu A, et al. Strangulation necrosis of the intestine in a patient with giant polycystic kidney disease: a rare cause of acute abdomen. Int Surg. 2008;93:15-8 pubmed
    ..A 75-year-old Japanese woman with a 30-year history of ADPKD underwent surgery to treat a diagnosis of acute abdomen. Surgery confirmed that the mesenterium was stretched caudally over the huge cysts that occupied the entire ..
  13. Lialios G, Kallitsaris A, Kabisios T, Messinis I. Ruptured heterotopic interstitial pregnancy: rare case of acute abdomen in a Jehovah's Witness patient. Fertil Steril. 2008;90:1200.e15-7 pubmed publisher
    ..To report a case of ruptured right heterotopic interstitial pregnancy diagnosed and managed laparoscopically by cornual resection...
  14. Brill S, Skipworth J, Stoker D. Conservative management of pneumatosis intestinalis and massive pneumoperitoneum in the acute abdomen: a case report. Ann R Coll Surg Engl. 2008;90:W11-3 pubmed publisher
    ..with pneumatosis intestinalis that was successfully managed without surgery despite a clinical picture of an acute abdomen and biochemical evidence of inflammation and systemic upset...
  15. George I, Sudarsanam T, Pulimood A, Mathews M. Acute abdomen: an unusual presentation of disseminated Penicillium marneffei infection. Indian J Med Microbiol. 2008;26:180-2 pubmed
    ..We report a patient with advanced AIDS who presented to us with prolonged fever and had features of an acute abdomen. On radiologic imaging he had features of intestinal obstruction and mesenteric lymphadenitis...
  16. Vettoretto N, Odeh M, Romessis M, Pettinato G, Taglietti L, Giovanetti M. Acute abdomen from chylous peritonitis: a surgical diagnosis. Case report and literature review. Eur Surg Res. 2008;41:54-7 pubmed publisher
    ..Laparotomic conversion, peritoneal toilette and drainage, with postoperative low-fat diet, were the pursued treatments. Two years after discharge, chemistry and clinics are normal, without evidence of associated disease or recurrence...
  17. Gajjar K, Mahendru A, Khaled M. Caesarean scar endometriosis presenting as an acute abdomen: a case report and review of literature. Arch Gynecol Obstet. 2008;277:167-9 pubmed
    To report a case of Caesarean scar endometriosis presenting as acute abdomen and a review of literature.
  18. Rhee S, Sheena Y, Imber C. Spontaneous rupture of the spleen: a rare but important differential of an acute abdomen. Am J Emerg Med. 2008;26:733.e5-6 pubmed publisher
    ..The purpose of this case report is to highlight the importance of considering spontaneous rupture of the spleen as a rare but important differential of an acute abdomen.
  19. Mardani M, Shahzadi M, Rakhshani N, Rahnavardi M, Rezvani J, Sharifinejad A. Spontaneous perforation of urinary bladder secondary to Candida cystitis: acute abdomen of urologic origin. Surg Infect (Larchmt). 2008;9:525-7 pubmed publisher
    Spontaneous urinary bladder perforation is a rare event; presentation as an acute abdomen is rarer still. Fungal cystitis has seldom, and Candida albicans cystitis has never, to our knowledge, been reported as a cause of perforation.
  20. Kilpatrick C, Orejuela F. Management of the acute abdomen in pregnancy: a review. Curr Opin Obstet Gynecol. 2008;20:534-9 pubmed publisher
    The acute abdomen remains a challenge for all physicians who take part in the care of women in pregnancy...
  21. Impellizzeri P, Montalto A, Borruto F, Antonuccio P, Scalfari G, Arena F, et al. Accessory spleen torsion: rare cause of acute abdomen in children and review of literature. J Pediatr Surg. 2009;44:e15-8 pubmed publisher
    Torsion of an accessory spleen is an extremely rare condition. We describe an unusual case of acute abdomen caused by torsion of an accessory spleen in a 12-year-old boy...
  22. Yakan S, Sirinocak A, Telciler K, Tekeli M, Denecli A. A rare cause of acute abdomen: small bowel obstruction due to phytobezoar. Ulus Travma Acil Cerrahi Derg. 2010;16:459-63 pubmed
    ..Phytobezoars are a rare cause of acute small bowel obstruction. The aim of this work was to identify the diagnostic difficulties and treatment of this rare entity...
  23. Saha P, Gupta P, Mehra R, Goel P, Huria A. Spontaneous perforation of pyometra presented as an acute abdomen: a case report. Medscape J Med. 2008;10:15 pubmed
    ..rare, perforation of pyometra should be kept as one of the differential diagnosis in an elderly woman with an acute abdomen. A high index of suspicion is required to make a correct preoperative diagnosis, which allows early ..
  24. Lucisano A, Pafundi D, Calabria R, Orsini V, Sacco R. [Congenital diaphragmatic hernia in an adult: case report of acute abdomen]. Chir Ital. 2008;60:583-6 pubmed
    ..This case report demonstrates that, despite the apparent clinical silence, congenital diaphragmatic hernia in an adult may often manifest itself with particular gravity calling for urgent surgery...
  25. Spencer S, Power N. The acute abdomen in the immune compromised host. Cancer Imaging. 2008;8:93-101 pubmed publisher
    ..This review explores the aetiology of the acute abdomen in the immune compromised host...
  26. Costamagna D, Pipitone Federico N, Erra S, Tribocco M, Poncina F, Botto G, et al. Acute abdomen in the elderly. A peripheral general hospital experience. G Chir. 2009;30:315-22 pubmed
    We reviewed our experience on 291 consecutive patients aged over 65 years who were operated on for acute abdomen during the period 2003-2007 at "Santo Spirito" Hospital of Casale Monferrato, a peripheral hospital in the ..
  27. Vanrykel F, Pattyn P, Vuylsteke P, Smet B. Perforated jejunal diverticulitis: a rare presentation of acute abdomen. Acta Chir Belg. 2010;110:367-9 pubmed
    Jejunal diverticulosis is a rare clinical finding with possible serious complications. A case of acute abdomen due to a perforated jejunal diverticulum is discussed, followed by a literature review concerning aetiology, symptoms, ..
  28. Geranpayeh L, Fadaei Araghi M, Shakiba B. Spontaneous uterine perforation due to pyometra presenting as acute abdomen. Infect Dis Obstet Gynecol. 2006;2006:60276 pubmed
    ..Although spontaneously perforated pyometra is rare, a perforated pyometra should therefore also be considered when elderly women present with acute abdominal pain...
  29. Augustin G, Majerovic M. Non-obstetrical acute abdomen during pregnancy. Eur J Obstet Gynecol Reprod Biol. 2007;131:4-12 pubmed publisher
    b>Acute abdomen in pregnancy remains one of the most challenging diagnostic and therapeutic dilemmas today. The incidence of acute abdomen during pregnancy is 1 in 500-635 pregnancies...
  30. Ahmed H, Wajed S, Krijgsman B, Elliot V, Winslet M. Acute abdomen secondary to a Meckel's lipoma. Ann R Coll Surg Engl. 2004;86:W4-5 pubmed
    ..We present an exceptional case, previously unreported in the English language, of a lipoma within a Meckel's diverticulum giving rise to this clinical scenario...
  31. Salem T, Molloy R, O Dwyer P. Prospective study on the role of the CT scan in patients with an acute abdomen. Colorectal Dis. 2005;7:460-6 pubmed
    ..CT scan (within 24 h) increases diagnostic accuracy, reduces hospital stay and mortality in patients with an acute abdomen. The aim of this study was to assess the surgeons' use of CT in patients with an acute abdomen and the impact ..
  32. Andriopoulos P, Tsironi M, Asimakopoulos G. Acute abdomen due to Brucella melitensis. Scand J Infect Dis. 2003;35:204-5 pubmed
    A case of acute abdomen caused by a Brucella melitensis is reported. The patient presented with biliary involvement in the form of acute acalculous cholecystitis and developed acute appendicitis that resulted in his surgical treatment.
  33. Kumar A, Saltzman D, Shukula M, Lewis V, Wendorf R, Sauer M, et al. Diagnostic peritoneal lavage for assessing acute abdomen in pediatric oncology and stem cell transplantation patients. J Pediatr Hematol Oncol. 2004;26:824-6 pubmed
    ..DPL was uneventfully performed at the bedside in both patients. The authors suggest DPL be considered as an alternative to laparotomy in critically ill pediatric oncology and stem cell transplantation patients...
  34. Majewski W. Long-term outcome, adhesions, and quality of life after laparoscopic and open surgical therapies for acute abdomen: follow-up of a prospective trial. Surg Endosc. 2005;19:81-90 pubmed
    The objective of this study was to determine the long-term outcome of laparoscopic and open therapies for acute abdomen, and to assess the patients postoperative quality of life, with special attention to adhesions.
  35. Urban B, Fishman E. Tailored helical CT evaluation of acute abdomen. Radiographics. 2000;20:725-49 pubmed
    ..Clear communication between the radiologist, the patient, and the referring physician is essential for narrowing the differential diagnosis into a working diagnosis prior to helical CT...
  36. Sharp H. The acute abdomen during pregnancy. Clin Obstet Gynecol. 2002;45:405-13 pubmed
  37. Gobbi S, Sarli L, Violi V, Roncoroni L. Laparoscopically assisted treatment of acute abdomen in systemic lupus erythematosus. Surg Endosc. 2000;14:1085-6 pubmed
    ..On the other hand, in patients with SLE who have acute abdomen, it is dangerous to delay surgery by attempting conservative therapy...
  38. Udwadia T. Diagnostic laparoscopy. Surg Endosc. 2004;18:6-10 pubmed
    ..laparoscopy is used for the evaluation of liver and peritoneal pathology, abdominal tuberculosis, malignancy, acute abdomen, and abdominal trauma...
  39. Casey R, Tan M, Salman R, Ryan J, Gillen P. Acute abdomen in pregnancy due to mucinous cystadenoma of the appendix. J Obstet Gynaecol. 2003;23:566-7 pubmed
  40. Montalto M, Miele L, Marcheggiano A, Santoro L, Curigliano V, Vastola M, et al. Anisakis infestation: a case of acute abdomen mimicking Crohn's disease and eosinophilic gastroenteritis. Dig Liver Dis. 2005;37:62-4 pubmed
    ..a rare parasitic disease transmitted to humans by the ingestion of raw fish, which can initially present with acute abdomen. We report the case of a man, a habitual consumer of raw fish, who underwent surgery for acute abdomen, ..
  41. Habesoglu M, Oğuzülgen K, Ozturk C, Akyurek N, Memis L. A case of bronchogenic carcinoma presenting with acute abdomen. Tuberk Toraks. 2005;53:280-3 pubmed
    ..Here we document an extremely rare presentation of the lung cancer that presented with acute abdomen and was diagnosed as intestinal obstruction due to colon carcinoma initially...
  42. Efremidou E, Liratzopoulos N, Papageorgiou M, Romanidis K. Perforated GIST of the small intestine as a rare cause of acute abdomen: Surgical treatment and adjuvant therapy. Case report. J Gastrointestin Liver Dis. 2006;15:297-9 pubmed
    A case of perforated gastrointestinal stromal tumor (GIST) of small intestine causing acute abdomen is described, with a brief review of the literature. A male patient presented with symptoms of acute abdomen...
  43. Salem T, Molloy R, O Dwyer P. Prospective study on the role of C-reactive protein (CRP) in patients with an acute abdomen. Ann R Coll Surg Engl. 2007;89:233-7 pubmed
    C-reactive protein (CRP) is used routinely in many hospitals to evaluate patients with an acute abdomen. We assessed CRP levels in non-specific abdominal pain (NSAP) and surgical conditions requiring operative or non-operative ..
  44. Charalabopoulos A, Charalabopoulos K, Avuzuklidou M, Charalabopoulos A, Ioachim E, Lebren F, et al. Eosinophilic gastroenteritis: presentation of two patients with unusual affect of terminal ileum and caecum with manifestations of acute abdomen and literature review. Int J Clin Pract. 2004;58:413-6 pubmed
    ..The disease is a non-surgical disease, thus presurgical diagnosis is important because the entity discussed can be under control by conservative treatment. A high disease suspicious index must be kept in the physicians' mind...
  45. Atar E, Herskovitz P, Powsner E, Katz M. Primary greater omental torsion: CT diagnosis in an elderly woman. Isr Med Assoc J. 2004;6:57-8 pubmed
  46. Pisano G, Erdas E, Parodo G, Martinasco L, Pomata M, Daniele G. [Acute abdomen due to rupture of mesenteric cysts. Observations on a clinical case and review of the literature]. Minerva Chir. 2004;59:405-11 pubmed
    ..In such cases, the clinical presentation is usually attributable to the main causes of acute abdomen, unless ultrasonography or CT scan are performed...
  47. Ozdogan M. Acute abdomen caused by a ruptured spontaneously infected mesenteric cyst. Turk J Gastroenterol. 2004;15:120-1 pubmed
    ..Any incidental mesenteric cyst diagnosed during radiological examination should be removed completely, even if it has been asymptomatic, to prevent potential life-threatening complications...
  48. Polat C, Tokyol C, Dilek O. Strangulated umbilical hernia including a mesenteric cyst: a rare cause of acute abdomen. Acta Chir Belg. 2003;103:329-31 pubmed
    ..are usually diagnosed as an incidental laparotomy finding in adults but in childhood, they may present with acute abdomen. In this report, a 72-year old female was referred to our hospital, suffering from acute abdominal pain, ..
  49. Puglisi F, Potenza A, Melchionda M, Capuano P, De Fazio M, Lobascio P, et al. Wandering spleen as a cause of acute abdomen: a case report. Chir Ital. 2005;57:373-5 pubmed
    We report a case of acute abdomen due to torsion of the long vascular pedicle of a wandering spleen, displaced in the abdominal cavity, and caused by partial infarction of the spleen...
  50. Babcock D. Sonography of the acute abdomen in the pediatric patient. J Ultrasound Med. 2002;21:887-99; quiz 900-1 pubmed
    ..To review the causes and sonographic appearance of pathologic processes that result in abdominal pain in the pediatric patient and to understand the use and limitations of abdominal sonography in the acute pediatric abdomen...
  51. Anderson N, Gama R, Kapadia S. Herbal remedy poisoning presenting with acute abdomen and raised urine porphyrins. Ann Clin Biochem. 2001;38:408-10 pubmed
    We describe a case of lead poisoning due to herbal remedies, presenting with an acute abdomen, raised porphyrins and increased liver enzyme activities...
  52. Atmaca R, Germen A, Burak F, Kafkasli A. Acute abdomen in a case with noncommunicating rudimentary horn and unicornuate uterus. JSLS. 2005;9:235-7 pubmed
    ..The case of a patient referred for acute abdomen after distention of a noncommunicating rudimentary horn is presented herein.
  53. Lawes D, Wood J. Acute abdomen in Henoch-Schönlein purpura. J R Soc Med. 2002;95:505-6 pubmed