ROLE OF USG IN PATIENTS WITH ACUTE ABDOMEN IN A TERTIARY CARE CENTRE IN WEST BENGAL

Soumitra Kumar Ghosh, Subhrajyoti Naskar

Abstract


Introduction: Acute abdomen is the common cause of emergency admissions.  USG plays an important role in the diagnosis of disease.

Methods: In this study  230 patients was taken  with complaints of severe abdominal pain except those with a history of trauma or with a history of chronic abdominal pain. Clinical history, physical examination, ultrasonography, other imaging methods and histo-pathological examination were used to come to a final conclusion. Result: In this study ultrasonography was diagnostic in 94.7% of patients. 1.7% patients were misdiagnosed and in 3.47%patients other investigations were required for the confirmation of diagnosis. The sensitivity of ultrasound in diagnosing renal calculus,calculus cholecystitis, liver abscess, mesenteric lymphadenitis, and ovarian cyst was 100% and in acute appendicitis and acute pancreatitis  it was 96.6% and 82.4% respectively. Conclusion: Ultrasonography is superior in organ system imaging. It helps in showing organ specific lesions which is helpful in follow up and response to treatment. Ultrasonography is also helpful in diagnosing alternative disease and to reduce negative surgical rate.

Keywords


Abdominal Pain, Acute Abdomen, Diagnosis, Ultrasonography

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