Abdominal emergency in patna medical college, patna – An analysis

Background: Acute abdominal emergencies are common reason for admission into emergency unit of most hospitals. This study was undertaken to look at the spectrum of such presentations to Patna Medical College and Hospital, Patna, Bihar, India. The management and outcome were also highlighted. Method: A retrospective review of case notes of patients with abdominal emergency conditions between year 2012-14 was carried out. Parameters studied included demographic characteristics, diagnosis, management and outcome. Results: A total of 202 patients were studied. Out of this male: female ratio was 2.8:1. The mean age was 35.5 years. In present study hollow viscus perforation, duodenal ulcer perforation has higher incidence rate 31 (15.34%). Next is typhoid ulcer perforation 29 (14.35%) and acute appendicitis 26(12.8%) (14.35%) followed by obstruction due to band adhesion 19(9.4%), closed injury of abdomen 17(8.4%), volvulus 16 (7.92%), open injury of abdomen 11(5.44%), ruptured liver abscess 9 (4.45%), strangulated inguinal hernia 7(3.46%), acute cholecystitis 6 (2.97%), imperforate anus 6(2.97%), gastric ulcer perforation 5 (2.47%), intussusceptions 5 (2.47%), obstruction due to stricture of small intestine 4(1.99%), round worm infestations 4(1.99%), meckle’s diverticulum 3(1.49%), acute pancreatitis 2(0.99%), large bowel perforation 1(0.49%), growth in colon and rectum 1(0.49%). Conclusion: Duodenal ulcer perforation was the commonest cause of abdominal emergency in our study .This was followed by typhoid ulcer perforation and acute appendicitis.