Abdominal Pain

  • Harshil Mehta


  • Wide range of pathologies may present with abdominal pain.

  • Key to reach proper diagnosis is adequate history and physical examination along with laboratory tests and imaging.

  • Disposition of patients with abdominal pain is as difficult as its diagnosis.

  • Low threshold should be kept for high-risk patients.

  • Life-threatening diseases should not be missed in emergency.


Herpes Zoster Acute Appendicitis Abdominal Aortic Aneurysm Ectopic Pregnancy Mesenteric Ischaemia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Macaluso CR, McNamara RM. Evaluation and management of acute abdominal pain in the emergency department. Int J Gen Med. 2012;5:789–97.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Brewster GS, Herbert ME. Medical myth: a digital rectal examination should be performed on all individuals with suspected appendicitis. West J Med. 2000;173:207–8.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Purcell TB. Nonsurgical and extraperitoneal causes of abdominal pain. Emerg Med Clin North Am. 1989;7:721.PubMedGoogle Scholar
  4. 4.
    Bundy DG, Byerley JS, Liles EA, et al. Does this child have appendicitis? JAMA. 2007;298:438–51.CrossRefPubMedPubMedCentralGoogle Scholar
  5. 5.
    Kessler N, Cyteval C, Gallix B, et al. Appendicitis: evaluation of sensitivity, specificity, and predictive value of US, Doppler US, and laboratory findings. Radiology. 2004;230:472–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Chang JWY, Chung CH. Diagnosing acute pancreatitis: amylase or lipase? Hong Kong J Emerg Med. 2011;18(1):20–5.Google Scholar
  7. 7.
    Kassahun WT, Schulz T, Richter O, Hauss J. Unchanged high mortality rates from acute occlusive intestinal ischemia: six year review. Langenbecks Arch Surg. 2008;393:163. PMID: 18172675.CrossRefPubMedGoogle Scholar
  8. 8.
    Miller RE, Nelson SW. The roentgenologic demonstration of tiny amounts of free intraperitoneal gas: experimental and clinical studies. AJR Am J Roentgenol. 1971;112:574–85.CrossRefGoogle Scholar
  9. 9.
    Spence SC, Teichgraeber D, Chandrasekhar C. Emergent right upper quadrant sonography. J Ultrasound Med. 2009;28:479. PMID: 19321676.PubMedGoogle Scholar
  10. 10.
    Esses D, et al. Ability of CT to alter decision making in elderly patients with acute abdominal pain. Am J Emerg Med. 2004;22:270.CrossRefPubMedGoogle Scholar
  11. 11.
    Lee SY, et al. Prospective comparison of helical CT of the abdomen and pelvis without and with oral contrast in assessing acute abdominal pain in adult emergency department patients. Emerg Radiol. 2006;12:150.CrossRefPubMedGoogle Scholar
  12. 12.
    Bree RL, Foley WD, Gay SB, et al., for the Expert Panel on Gastrointestinal Imaging. American College of Radiology ACR Appropriateness Criteria. Right upper quadrant pain. Accessed 24 Aug 2007.
  13. 13.
    Bree RL, Blackmore CC, Foley WD, et al., for the Expert Panel on Gastrointestinal Imaging. American College of Radiology ACR Appropriateness Criteria. Right lower quadrantpain. Accessed 24 Aug 2007.
  14. 14.
    Levine MS, Bree RL, Foley WD, et al., for the Expert Panel on Gastrointestinal Imaging. American College of Radiology ACR Appropriateness Criteria. Left lower quadrantpain. Accessed 24 Aug 2007.
  15. 15.
    Silen W. Cope’s early diagnosis of the acute abdomen. 21st ed. New York: Oxford University Press; 2005.Google Scholar
  16. 16.
    Berman DA, Porter RS, Graber M. The GI cocktail is no more effective than plain liquid antacid: a randomized, double blind clinical trial. J Emerg Med. 2003;25:239.CrossRefPubMedGoogle Scholar
  17. 17.
    Chey WD, et al. American College of Gastroenterology guideline on the management of H. Pylori infection. Am J Gastroenterol. 2007;102:1808–25.CrossRefPubMedGoogle Scholar

Copyright information

© Springer India 2016

Authors and Affiliations

  1. 1.Department of Emergency MedicineKokilaben Dhirubhai Ambani HospitalMumbaiIndia

Personalised recommendations