بررسي قدرت تشخيصي لاپاروسكوپي در دردهاي حاد مبهم شكمي

The role of laparoscopy in diagnosing acute atypical abdominal pain

Background and purpose: Patients with acute vague abdominal pain or acute atypical abdominal pain may undergo operation without definite diagnosis and may be treated or discharged after some hours or days of observation without definite results. Laparoscopy, a new diagnostic and therapeutic method, can help in diagnosing the definite cause, as a minimal invasive technique. Materials and methods : 28 patients with acute vague or atypical pain with no definite diagnosis after 18-24 hours under went diagnostic laparoscopy. Results : The abdominal disorder was diagnosed and treated in nearly 70 percent of these patients after laparoscopy. Conclusion : Abdominal disorder was diagnosed in 40% of the patients by laparoscopy method in the first 24 hours of being admitted (sensitivity 89.3%- specificity 85/7%), hence it is recommended to use diagnostic laparoscopy instead of observation in these patients.