[Laparotomy for acute XXXX ].

@entity1 @entity308 @entity146 @entity1066 @entity8442 @entity5539
35--40% of @entity5539 among @entity308 @entity1 present as abdominal troubles. These are difficult to interpret in the case of larvate @entity308 which manifests itself mainly in the somatic sphere. For the last twenty years, we have noticed an @entity308 . As a result, @entity1 are often inadequately treated or submitted to surgery. This report is about a 37-year-old female @entity1 who was referred to us with the diagnosis of an acute abdomen. After extensive investigations we were able to rule out as well a mechanical as a reflectory ileus. Nevertheless, the rapid deterioration of her general condition, increasing peritonism and radiological evidence of ileus made us suspect a perforated @entity1066 with accompanying @entity8442 and perform an exploratory laparotomy 24 h later. We were very surprised not to discover any abnormal findings at operation. The consultant psychiatrist eventually diagnosed a @entity308 . Up to this date, we have not been able to discover any information about similar @entity1 presenting with such an acute history, even in specialised @entity146 literature. Should one refer such @entity1 with acute abdomen to the psychiatrist before operating?
