INTRODUCING THE ACUTE
Abdul Mughni Rozy
Surgery Dept.- Medical Faculty of Diponegoro University
Define the acute abdomen.
Describe the cause and pathophysiology of the following acute abdominal
a. acute appendicitis - inflammatory
b. acute small bowel obstruction - mechanical
c. mesenteric vascular occlusion vascular
d. perforated duodenal ulcer perforated viscus
Identify and describe the symptoms, signs, clinical course and laboratory
and x-ray findings for the acute abdominal diseases listed under Objective 2.
Identify the clinical features that help to distinguish the surgical from the
non-surgical acute abdomen.
Construct an approach to evaluation and management of the acute
Definition of the Acute Abdomen
as an intraabdominal process causing severe pain and
often requiring surgical intervention.
It is a condition that requires a fairly immediate
judgment or decision as to management.
Causes of the acute abdomen :
e. congenital defects
Pelvic inflammatory disease
perforation of a peptic ulcer
malrotation of the gut with volvulus,
congenital atresia or stenosis of the gut.
carcinoma of the colon.
mesenteric arterial thrombosis or embolism. blood
supply is cut off, necrosis of tissue results, with
gangrene of the bowel.
chronic malrotation of the intestine.
stab and gunshot wounds
blunt abdominal injuries
Perforation of GI Track
The Acute Abdomen : available in :