DOI: 10.36347/sjams.2017.v05i03.068

Pages: 1074-1078

General surgeons are many times faced with emergency situations where they may need to diagnose the conditions with ultrasound instead of referring the patient to radiology Department which may lead to inadvertent delays. Therefore surgeon’s ultrasound skills can remarkably help in fast diagnosis as well as treatment. This study was done to evaluate the accuracy of diagnosis of various acute abdomen cases when diagnosed by ultrasound and surgery. This study was conducted in Department of General Surgery in RIMS Adilabad; Institutional Ethical committee permission was obtained. About 1000 cases of acute abdomen were included in this study. The same surgeon performed ultrasound and surgery in all the cases and the diagnosis by ultrasound and surgical diagnosis was recorded other parameters like duration of post-operative pain were noted. Out of the 1000 cases 600 (60%) were male and 400 (40%) were female patients. Most common cause of acute abdomen was nephrolithiasis 460 (46%) followed by appendicitis 155 (15.5 %) and Peritonitis 154 (15.4%). The accuracy of diagnosis by ultrasound compared with surgical diagnosis was 100% in nephrolithiasis and Ectopic pregnancy followed by Appendicitis 96.77% and ovarian cysts 90.91%. Surgeons are generally involved in diagnosis and management of conditions such as acute abdomen. Surgeon’s skills of diagnosis by ultrasound will lead to better and early management of acute and painful conditions without waiting for diagnosis by radiology department especially in cases of emergencies.