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Laparoscopy in patients admitted for acute abdominal pain.
Acta Chir Scand ; 151(6): 521-4, 1985.
Article en En | MEDLINE | ID: mdl-2936052
In 81 patients with acute abdominal pain, laparoscopy was performed because of diagnostic doubt. Diagnosis by clinical methods proved to be correct in 42 of the patients and laparoscopy gave correct diagnosis in 70. Appendectomy revealed acute appendicitis in 19 patients and normal appendix in five. Failure to establish a diagnosis by laparoscopy was due to incomplete visualization of appendix in nine patients, pelvic adhesions in one patient, and failure to enter the peritoneal cavity in another. A clinical diagnosis of acute appendicitis could be invalidated by laparoscopy in 17 of 40 patients. Negative laparotomy is potentially avoidable by use of laparoscopy when a diagnosis of appendicitis is questionable. Laparoscopy may therefore be warrantable in such cases.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Abdomen Agudo Tipo de estudio: Diagnostic_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Acta Chir Scand Año: 1985 Tipo del documento: Article Pais de publicación: Suecia
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Abdomen Agudo Tipo de estudio: Diagnostic_studies Límite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Acta Chir Scand Año: 1985 Tipo del documento: Article Pais de publicación: Suecia