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Patterns of Abdominal Surgical Emergencies of Patients Treated at Ambo Referral Hospital from January 1, 2018 to December 30, 2019, Oromia Regional State, Ambo, Ethiopia

Received: 8 October 2022     Accepted: 7 November 2022     Published: 16 November 2022
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Abstract

Acute abdomen is an acute onset of abdominal disease entities that require immediate surgical intervention in most of the cases. It is the commonly encountered emergency in the practice of general surgery but there was no much information regarding its magnitude in our country. Objective: This study had assessed the pattern of acute abdomen of patients surgically treated at Ambo referral hospital from January 2018-Dec. 2019 Methodology: This study was conducted at Ambo referral hospital and retrospective analysis of surgically treated acute abdomen patients from January 2018-Dec. 2019G. C. Enrolled patients medical record number was collected from surgical operation registration book and the charts were collected from chart collection room. Results: During this study period there were total of one hundred and eleven (111) patients admitted with diagnoses of acute abdomen and surgically treated on emergency basis. Males were more affected than females and most affected group were young age falls in 2nd and 3rd decades. The most common presenting symptoms were abdominal pain and vomiting whereas abdominal tenderness and distension were the leading signs. The leading causes of acute abdomen were acute appendicitis followed by intestinal obstruction and abdominal trauma. The investigation was ordered according to clinical diagnoses to aid/ confirm diagnoses. Post-operative stay was relatively similar with studies conducted in some part of the country and all over the world. In the study period above 90% were discharged with improvement where as 9% were died. Conclusion: This study depicted the commonest presenting symptoms and signs, most common etiology of acute abdomen and pre and post op stay which affected the outcome. Still some variables need deep study like why trauma becomes a 3rd leading cause and less affected females.

Published in Advances in Surgical Sciences (Volume 10, Issue 2)
DOI 10.11648/j.ass.20221002.13
Page(s) 22-26
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Acute Abdomen, Acute Appendicitis, Laparotomy

References
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[2] Baily and Love’s short practice of surgary, edited by charles V. mann, RCG Russel, and Normal, S. Williams, 24th edition London 2004.
[3] Population reference bureau, UNAIDS/WHO working group on global HIV/AIDS and STI servaillance, 2000, Ethiopia DHS.
[4] Zelalem A. pattern of acute abdomen in Yirgalem Hospital, Southern Ethiopia, EMJ 200; 38.
[5] L. Marjan, M. Armita (2009), “Acute abdomen: pre and post-laparotomy diagnoses in Teharan University, medical sciences, Iran.
[6] Abdulaziz A. Retrospective analysis of abdominal surgical emmergenlies at Jimma Hospital, an abstract of research by graduated students of JIHS, 1994.
[7] S. Tsegaye M. Osman, A. Bekele (2007), surgical treated acute abdomen at Gondar University Hospital, Gondar, Ethiopia”, East and central African J. Surg. Volume 12 No. 1 pp 53 -57.
[8] AjaooG. Abdominrl emergencies in a tropical African population. Brj of sugars 1981, 68 (5); 345-7.
[9] D. Abraham. T. Birhanu (2003), “pattern and clinical presentation of acute appendicitis in adults in Zawuditu memorial hospital, Addis abeba Ethiopia “EJHS, V. 13 pp114-24.
[10] Daniel E. Melaku G, Yoo Mc, Agezew Y, Gebre W. Analysis of surgical admission to the Ethio-swidisa children’s hospital in Alabeba. EMJ1990 Janu: 28 (1), 15-22.
[11] Ayalew T, samall intestinal valuuius in adutts of Gonder region, N, W Ethiopia EMJ 1992, 30: 111-14.
[12] Zelalem A. Acute appendicitis in Yingalem hospital, southern Ethiopia EMJ 2000, 40.
[13] Johnson O. appendicitis in childhood, EMJ 1987. 19.
[14] Goundere MW. (1997),”Acute abdomen-when to operate immediately and when to observe”, semen pediatrsueg, Vol. 6 No2, pp. 74-82.
[15] Smith R., Vriesman AV. Acute abdomen-a practical approach. The Radiology Assistant. Radiology department of the Rijnland Hospital, Leiderdorp, The Netherlands 2005. Available from: http://www.radiologyassistant.nl/en/p42d54f75d111d/acute-abdomen-practical-approach.html
[16] Kotiso B., Abdurahman Z. Pattern of acute abdomen in adult patients in Tikur Anbesa Teaching Hospital, Addis Ababa, Ethiopia. East Cent. Afr J Surg 2006; 12: 47-52.
[17] Tsegaye S., Osman M., Bekele A. Surgically treated acute abdomen at Gondar University Hospital, Ethiopia. East Cent. Afr J Surg 2007; 12: 53-57.
[18] Asefa Z., Geyesus A. Perforated peptic ulcer disease in Zewditu hospital. Ethiopian Medical Journal. 2012; 50: 145-151.
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  • APA Style

    Leta Alemu Diba, Abel Ambaye Anfucho. (2022). Patterns of Abdominal Surgical Emergencies of Patients Treated at Ambo Referral Hospital from January 1, 2018 to December 30, 2019, Oromia Regional State, Ambo, Ethiopia. Advances in Surgical Sciences, 10(2), 22-26. https://doi.org/10.11648/j.ass.20221002.13

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    ACS Style

    Leta Alemu Diba; Abel Ambaye Anfucho. Patterns of Abdominal Surgical Emergencies of Patients Treated at Ambo Referral Hospital from January 1, 2018 to December 30, 2019, Oromia Regional State, Ambo, Ethiopia. Adv. Surg. Sci. 2022, 10(2), 22-26. doi: 10.11648/j.ass.20221002.13

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    AMA Style

    Leta Alemu Diba, Abel Ambaye Anfucho. Patterns of Abdominal Surgical Emergencies of Patients Treated at Ambo Referral Hospital from January 1, 2018 to December 30, 2019, Oromia Regional State, Ambo, Ethiopia. Adv Surg Sci. 2022;10(2):22-26. doi: 10.11648/j.ass.20221002.13

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  • @article{10.11648/j.ass.20221002.13,
      author = {Leta Alemu Diba and Abel Ambaye Anfucho},
      title = {Patterns of Abdominal Surgical Emergencies of Patients Treated at Ambo Referral Hospital from January 1, 2018 to December 30, 2019, Oromia Regional State, Ambo, Ethiopia},
      journal = {Advances in Surgical Sciences},
      volume = {10},
      number = {2},
      pages = {22-26},
      doi = {10.11648/j.ass.20221002.13},
      url = {https://doi.org/10.11648/j.ass.20221002.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20221002.13},
      abstract = {Acute abdomen is an acute onset of abdominal disease entities that require immediate surgical intervention in most of the cases. It is the commonly encountered emergency in the practice of general surgery but there was no much information regarding its magnitude in our country. Objective: This study had assessed the pattern of acute abdomen of patients surgically treated at Ambo referral hospital from January 2018-Dec. 2019 Methodology: This study was conducted at Ambo referral hospital and retrospective analysis of surgically treated acute abdomen patients from January 2018-Dec. 2019G. C. Enrolled patients medical record number was collected from surgical operation registration book and the charts were collected from chart collection room. Results: During this study period there were total of one hundred and eleven (111) patients admitted with diagnoses of acute abdomen and surgically treated on emergency basis. Males were more affected than females and most affected group were young age falls in 2nd and 3rd decades. The most common presenting symptoms were abdominal pain and vomiting whereas abdominal tenderness and distension were the leading signs. The leading causes of acute abdomen were acute appendicitis followed by intestinal obstruction and abdominal trauma. The investigation was ordered according to clinical diagnoses to aid/ confirm diagnoses. Post-operative stay was relatively similar with studies conducted in some part of the country and all over the world. In the study period above 90% were discharged with improvement where as 9% were died. Conclusion: This study depicted the commonest presenting symptoms and signs, most common etiology of acute abdomen and pre and post op stay which affected the outcome. Still some variables need deep study like why trauma becomes a 3rd leading cause and less affected females.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Patterns of Abdominal Surgical Emergencies of Patients Treated at Ambo Referral Hospital from January 1, 2018 to December 30, 2019, Oromia Regional State, Ambo, Ethiopia
    AU  - Leta Alemu Diba
    AU  - Abel Ambaye Anfucho
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    UR  - https://doi.org/10.11648/j.ass.20221002.13
    AB  - Acute abdomen is an acute onset of abdominal disease entities that require immediate surgical intervention in most of the cases. It is the commonly encountered emergency in the practice of general surgery but there was no much information regarding its magnitude in our country. Objective: This study had assessed the pattern of acute abdomen of patients surgically treated at Ambo referral hospital from January 2018-Dec. 2019 Methodology: This study was conducted at Ambo referral hospital and retrospective analysis of surgically treated acute abdomen patients from January 2018-Dec. 2019G. C. Enrolled patients medical record number was collected from surgical operation registration book and the charts were collected from chart collection room. Results: During this study period there were total of one hundred and eleven (111) patients admitted with diagnoses of acute abdomen and surgically treated on emergency basis. Males were more affected than females and most affected group were young age falls in 2nd and 3rd decades. The most common presenting symptoms were abdominal pain and vomiting whereas abdominal tenderness and distension were the leading signs. The leading causes of acute abdomen were acute appendicitis followed by intestinal obstruction and abdominal trauma. The investigation was ordered according to clinical diagnoses to aid/ confirm diagnoses. Post-operative stay was relatively similar with studies conducted in some part of the country and all over the world. In the study period above 90% were discharged with improvement where as 9% were died. Conclusion: This study depicted the commonest presenting symptoms and signs, most common etiology of acute abdomen and pre and post op stay which affected the outcome. Still some variables need deep study like why trauma becomes a 3rd leading cause and less affected females.
    VL  - 10
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Author Information
  • Jimma University Medical Center, Jimma, Ethiopia

  • Dr. Bogalech Gebre Memorial General Hospital, Durame, Ethiopia

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