Frequency, pattern and management of acute abdomen in XXXX in Karachi, Pakistan.

@entity1 @entity788 @entity697 @entity2679 @entity7643 @entity779 @entity298
OBJECTIVE: This study aimed to determine the frequency, pattern and management of acute abdomen in @entity1 with @entity779 . METHODS: This descriptive case series is a prospective analysis of acute abdomen in @entity779 that was performed at three secondary care hospitals in Karachi, Pakistan from June 1, 2005 to December 31, 2008. The inclusion criterion was all @entity1 with confirmed diagnosis of @entity779 . @entity1 with incomplete laboratory, ultrasound or histopathology data were excluded. RESULTS: Among 357 @entity1 with @entity779 , 43 (12.04%) had acute abdomen. There were 15 @entity1 and 28 @entity1 , with a median age of 29 years. These included 26 cases of acute @entity2679 , 7 cases of @entity697 , 7 cases of nonspecific @entity298 , and 3 cases of acute @entity788 . @entity7643 was found in acute @entity788 , and two of these @entity1 died. Emergency surgery was required in eight @entity1 (5 appendectomy and 3 open cholecystectomy). Substantial transfusion of blood and its components was required in eight @entity1 who underwent emergency surgery. CONCLUSION: Early diagnosis and prompt conservative management of dengue acute abdomen is necessary to avoid mortality and emergency surgery-related morbidity. However, if needed, surgery can be performed with acceptable morbidity.
