Epidemiological Profile Of Surgical Acute Abdomen In A Tertiary Care Hospital Of Western Region of Nepal

Surgery

Introduction: Acute abdomen is the most common presentation in the department of surgery. It is a great challenge in medical field due to its varied clinical presentation, diagnosis and management. It represents a spectrum of diseases ranging from benign and self-limited to surgical emergencies. Materials and methods: It was a prospective observational study conducted at department of surgery in Western Regional Hospital, Pokhara from August 2022 to November 2022. Three hundreds patients who admitted for acute surgical abdomen meeting inclusion criteria were enrolled. Data was collected using a structured Performa. Statistical analysis was done by using SPSS software and Microsoft excel. Results: Out of three hundreds patients sixty one percentages were male and thirty nine percentages were female with most common presentation age group of up to 40 years. Most consistent symptom and sign were pain abdomen and abdominal tenderness respectively. Acute appendicitis is the most common type of presentation followed by non specific pain abdomen. Intraoperative findings of inflamed appendix, duodenal perforation, postoperative adhesive obstruction and traumatic liver injury were most common findings. Fifty six percentage of acute abdomen were managed operatively. Conclusion: Acute abdomen is a surgical emergency. It is common in male. Acute appendicitis is the most common presentation of surgical acute abdomen. Majority of surgical acute abdomen needs a thorough clinical examination, prompt diagnosis and operative management.

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