Approach to abdominal pain in the emergency department: importance of imaging studies in the differential diagnosis of acute abdomen
DOI:
https://doi.org/10.18378/rebes.v14i1.10326Abstract
Abdominal pain is one of the most common complaints in patients seeking care in emergency departments, representing a diagnostic challenge due to its diverse etiology. In this context, this article aims to highlight the importance of imaging studies in the differential diagnosis of acute abdomen, a condition that requires rapid identification and treatment. Through a literature review, this study addresses the potential causes of acute abdominal pain, from benign conditions to life-threatening emergencies, and how imaging studies contribute decisively in differentiating these conditions. The aim is to evaluate the efficacy of different imaging modalities, such as radiography, ultrasonography, computed tomography, and magnetic resonance imaging, in identifying specific causes of acute abdomen. The methodology employed involved the analysis of relevant studies and articles published in reliable databases, addressing both the diagnostic accuracy and the speed with which each type of imaging test can contribute to the diagnosis. The results show that, while some conditions can be identified through simpler and less expensive imaging methods, others require more advanced and detailed techniques for an accurate diagnosis. It is concluded that imaging studies act in the management of patients with abdominal pain in the emergency department, speeding up diagnosis and treatment, reducing the likelihood of serious complications through an accurate and early identification of the underlying causes of acute abdomen.
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CUDNIK, Michael T. et al. The diagnosis of acute mesenteric ischemia: a systematic review and meta‐analysis. Academic Emergency Medicine, v. 20, n. 11, p. 1087-1100, 2013.
DEKATE, Parag; JAYASHREE, M.; SINGHI, Sunit C. Management of acute diarrhea in emergency room. The Indian Journal of Pediatrics, v. 80, p. 235-246, 2013.
DUARTE, Carolina Vargas; CRUZ, Tulio Henrique; LINO, Henrique Augusto. Desafios no diagnóstico por imagem do abdome agudo na gestação. e-Scientia, v. 12, n. 2, p. 22-26, 2020.
FALCH, Claudius et al. Treatment of acute abdominal pain in the emergency room: a systematic review of the literature. European Journal of Pain, v. 18, n. 7, p. 902-913, 2014.
GANS, Sarah L. et al. Guideline for the diagnostic pathway in patients with acute abdominal pain. Digestive surgery, v. 32, n. 1, p. 23-31, 2015.
KARIMAN, Hamid et al. Evaluation of the Alvarado score in acute abdominal pain. Ulus Travma Acil Cerrahi Derg, v. 20, n. 2, p. 86-90, 2014.
KOOP, Herbert; KOPRDOVA, Simona; SCHÜRMANN, Christine. Chronic abdominal wall pain: a poorly recognized clinical problem. Deutsches Ärzteblatt International, v. 113, n. 4, p. 51, 2016.
LIRA, Daniel Lourenço et al. Manejo da dor abdominal em adultos: Uma revisão integrativa. Caderno de ANAIS HOME, 2023.
MAZZEI, Maria Antonietta et al. The role of US examination in the management of acute abdomen. Critical Ultrasound Journal, v. 5, p. 1-9, 2013.
MOSTBECK, Gerhard et al. How to diagnose acute appendicitis: ultrasound first. Insights into imaging, v. 7, n. 2, p. 255-263, 2016.
NAVEZ, Benoit; NAVEZ, Julie. Laparoscopy in the acute abdomen. Best Practice & Research Clinical Gastroenterology, v. 28, n. 1, p. 3-17, 2014.
REUST, Carin E.; WILLIAMS, Amy. Acute abdominal pain in children. American family physician, v. 93, n. 10, p. 830-837, 2016.
SNYDER, Matthew J.; GUTHRIE, Marjorie; CAGLE, Stephen. Acute appendicitis: efficient diagnosis and management. American family physician, v. 98, n. 1, p. 25-33, 2018.
SOUSA, Diogo et al. Apendagite epiplóica-diagnóstico diferencial de apendicite aguda. Revista Portuguesa de Cirurgia, n. 36, p. 29-32, 2016.
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Copyright (c) 2024 Lais Vaz Moreira, Renata Diniz de Carvalho, Jeanille Seixas Xavier Abrantes Diniz, Gabriela Vieira Queiroga, Ana Beatriz da Silva Batista, Francisco Genildo da Silva, Amanda Macedo Fechine, Thiago Bastos Vasconcelos
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