• Lakshay Chanana, Moses A K Jegaraj, Kimmin Kalyaniwala, Bijesh Yadav, and Kundavaram Abilash.
• Department of Emergency, Christian Medical College, Vellore, Tamil Nadu, India.
• J Family Med Prim Care. 2015 Jul 1; 4 (3): 422-5.

BackgroundAbdominal pain is one of the most common reasons for presenting to the emergency depatment (ED) and the etiology is varied.Materials And MethodsThis prospective observational study was conducted in a large ED of a tertiary care center in India. All patients older than 15 years and presenting with non-traumatic abdominal pain to the ED from May 2012 to October 2012 were recruited and the demographic characteristics, diagnosis and outcome were analyzed.ResultsThe study cohort included 264 patients over a 6 month period. More than half (55.6%) were aged between 15 and 40 years. There was a male predominance (56.8%). Majority of the patients (76.9%) presented with abdominal pain of less than 72 hour duration. The pain was sudden in onset in 54.9% of patients. Dull type was the most common character of pain (36%) followed by colicky type (22.3%). The most common site of pain was the lower abdomen (45.8%). Upper abdominal pain was seen in 26.9% and the pain was generalized in 27.3% of patients. The common causes were uretericcolic (16.3%), urinary tract infection (12.5%), acute pancreatitis (11%), acute appendicitis (10.6%) and acute gastritis (8%). More than half (51.9%) discharged from ED and 37% of cases were managed by the emergency physicians. Surgical intervention was required in 25.8% of patients. The mortality rate was 2.3%.ConclusionsAbdominal pain is a common ED symptom and clinicians must consider multiple diagnoses, especially those that require immediate intervention to limit morbidity and mortality.

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