Abdominal and pelvic pain
Author:
Mikael Häggström [notes 1]
Choice of investigation
In acute abdominal pain with otherwise no specific indication of its origin, an abdominal CT is generally indicated.
Abdominal ultrasonography is generally the investigation of choice, at least in younger people, with symptoms pointing at certain organ systems:
- Ultrasonography for cholecystitis.[1][2][3] Alternatively, CT scan may be used if complications such as perforation or gangrene are suspected.[4]
- Ultrasonography for biliary colic, which is a severe pain, typically in the right upper quadrant or in the epigastrium, but it may also be retrosternal, and lasts for 20 minutes to 6 hours. Without an indication of inflammation, the investigation is done electively (within a couple of weeks).[5]
References
- ↑ Strasberg, SM (26 June 2008). "Clinical practice. Acute calculous cholecystitis. ". The New England Journal of Medicine 358 (26): 2804–11. doi:. PMID 18579815.
- ↑ "Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease ". Arch. Intern. Med. 154 (22): 2573–81. November 1994. doi:. PMID 7979854.
- ↑ "The sensitivity of hepatobiliary imaging and real-time ultrasonography in the detection of acute cholecystitis ". Arch Surg 120 (8): 904–6. August 1985. doi:. PMID 3893388.
- ↑ Friedman L.S. (2015). Liver, Biliary Tract, & Pancreas Disorders. In Papadakis M.A., McPhee S.J., Rabow M.W. (Eds), Current Medical Diagnosis & Treatment 2015
- ↑ Page 478 in: David C. Sprigings, John B. Chambers (2017). Acute Medicine: A Practical Guide to the Management of Medical Emergencies (5 ed.). John Wiley & Sons. ISBN 9781118644263.
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