• Ned Tijdschr Geneeskd · Feb 2000

    Review Case Reports

    [Acute abdomen: consider also the thorax].

    • M M van der Eerden, H E Codrington, C S de Graaff, and W G Boersma.
    • Medisch Centrum Alkmaar, afd. Longziekten, Alkmaar.
    • Ned Tijdschr Geneeskd. 2000 Feb 12;144(7):305-8.

    AbstractThree patients, 2 men aged 22 and 62 years en 1 woman aged 49, presented with symptoms of an acute abdomen. While infiltrative signs were described on radiodiagnostic images two patients underwent laparotomies. In all three subsequently the diagnosis of pneumonia was established and the patients made full recovery after antibiotic therapy. When a patient presents with symptoms of an acute abdomen, the possibility of an existing pneumonia should always be borne in mind. It is therefore recommended to make a chest radiograph with frontal and lateral view. In the presence of infiltrative signs the existence of pneumonia as the cause of abdominal symptoms should be considered in order to avoid unnecessary laparotomy.

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