Author/Editor		Tomažič, Aleš; Grosek, Jan
Title		Akutni abdomen
Translated title		Acute abdomen
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 50, št. 3
Publication year		2011
Volume		str. 273-87
Language		slo
Abstract		The term acute abdomen refers to signs and symptoms of abdominal pain, tenderness, nausea and vomiting, with or without the signs oflocal or diffuse peritonitis and systemic ilness, a clinical presentation, that of ten requires emergency surgical therapy. This review provides a framework for understanding abdominal pain, so that practitioners may determine those patients who need a more expedited evaluation. In the first part of the article, a general approach to the patient is outlined. Details in clinical examination and diagnostic possibilities are highlighted aswell. The pathways ofvisceral and somatic pain are described and signs of peritonitis are listed. From among diagnostic methods, laboratory tests, ultrasound and computer tomography are the most important ones for determining the reason of acute abdomen. The second part of the article describes the most frequent causes of acute surgical abdomen: peritonitis, ileus, bleeding, acute mesenteric ischemia, cholecystitis, peptic ulcer perforation, acute pancreatitis, appendicitis and diverticulitis.
Descriptors		ABDOMEN, ACUTE ABDOMINAL PAIN ABDOMINAL ABSCESS PERITONITIS INTESTINAL OBSTRUCTION HEMORRHAGE MESENTERIC VASCULAR OCCLUSION CHOLECYSTITIS CHOLELITHIASIS PEPTIC ULCER PERFORATION PANCREATITIS APPENDICITIS