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Dr.Bawantha Gamage
Consultant Surgeon & Senior Lecturer in Surgery
OBJECTIVES :
• Understand the Surgical Anatomy of the
organs involved
• Outline Pathophysiology of referred pain.
• Understand the clinical presentations of acute
abdomen
• Outline the Principles of Investigations
• Understand the Principles of Management
“Acute Abdomen”
?
 50% of general Surgical admissions
 50% will resolve without operation
28 year old female presented with sudden
onset abdominal pain associated with
vomiting to the surgical casualty ward.
What are the Causes ?
What are you going to do ?
Examination
Investigation
Treatment
Summary
 Understand that common things are common
 Act immediately
 Do not hesitate to inform the seniors and get
help when necessary
Treat the individual patient not the condition
only.
Please note that the photos are obtained from Surgery International Journal
Thank You

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Acute abdomen