A Prospective Study on Acute Abdomen at Agogo Presbyterian Hospital (APH), Ghana: Identification of Common Causes and Pattern of Presentation


Authors : Godness Kye Biney; Michael Sarfo; Gilbert Lamptey; Dr. Frank Abebresse

Volume/Issue : Volume 8 - 2023, Issue 5 - May

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://tinyurl.com/y5fe8a67

DOI : https://doi.org/10.5281/zenodo.8098610

Abstract : Background Acute abdomen is the most common presenting surgical emergency in the world and due to its varied etiology; it poses significant diagnostic challenges for physicians.Objective To examine the demographics and presentation patterns of patients with acute abdomen (AA) who sought treatment at Agogo Presbyterian Hospital (APH). To determine the most common causes of AA, evaluate accuracy of diagnosis by comparing pre-operative and post– operative diagnosis of AA and determine the morbidity and mortality associated with management of the condition at APH.Methods A descriptive, observational cross-sectional studies which included all cases of AA diagnosed at APH within the set study period. Standard forms were the primary tool used for data collection. The variables studied include patient demographics, clinical features, pattern of presentations, complications and mortality. Data gathered were coded and analyzed with the Statistical Package for Social Sciences (SPSS) version 25.0Result There were 26 patients, 11 males and 15 females. The ages ranged from 1 to 69.laparotomy being the common operations), 11 were managed conservatively. Three patients (11.5%) died, two of whom were cases of perforated peptic ulcer disease and died within three days of admission.Conclusion This study highlights the need for accurate and prompt diagnosis of AA, as it can be life-threatening.

Keywords : Acute Abdomen; Acute Appendicitis; Abdominal Pain; Peptic Ulcer Disease; Intestinal Obstruction; Ghana.

Background Acute abdomen is the most common presenting surgical emergency in the world and due to its varied etiology; it poses significant diagnostic challenges for physicians.Objective To examine the demographics and presentation patterns of patients with acute abdomen (AA) who sought treatment at Agogo Presbyterian Hospital (APH). To determine the most common causes of AA, evaluate accuracy of diagnosis by comparing pre-operative and post– operative diagnosis of AA and determine the morbidity and mortality associated with management of the condition at APH.Methods A descriptive, observational cross-sectional studies which included all cases of AA diagnosed at APH within the set study period. Standard forms were the primary tool used for data collection. The variables studied include patient demographics, clinical features, pattern of presentations, complications and mortality. Data gathered were coded and analyzed with the Statistical Package for Social Sciences (SPSS) version 25.0Result There were 26 patients, 11 males and 15 females. The ages ranged from 1 to 69.laparotomy being the common operations), 11 were managed conservatively. Three patients (11.5%) died, two of whom were cases of perforated peptic ulcer disease and died within three days of admission.Conclusion This study highlights the need for accurate and prompt diagnosis of AA, as it can be life-threatening.

Keywords : Acute Abdomen; Acute Appendicitis; Abdominal Pain; Peptic Ulcer Disease; Intestinal Obstruction; Ghana.

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