ReviewDeutsches Arzteblatt international2025
The Acute Abdomen: Structured Diagnosis and Treatment.
Review in Deutsches Arzteblatt international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Hypertriglyceridemic Acute Pancreatitis With Concomitant Retrocecal Appendicitis: A Case Report.Clinical case reports · 2026Article
- Anteroposterior diameter of the pancreas in the diagnosis of autoimmune pancreatitis and acute pancreatitis on MRI.Abdominal radiology (New York) · 2026Article
- Impact of in-hospital delay on clinical and economic outcomes after laparoscopic appendectomy for acute appendicitis: a single-center retrospective cohort study.Annals of surgical treatment and research · 2026Article
- Consensus on the diagnosis and treatment of non-traumatic acute abdomen in elderly patients.World journal of emergency medicine · 2026Article
- A foundation model for acute abdomen diagnosis stratification and triage on noncontrast computed tomography.Nature communications · 2026Article
- Towards clinically interpretable machine learning in emergency surgery: feature importance and insights across clinical time points in abdominal pain cases.Langenbeck's archives of surgery · 2026Article
- Integrating ultrasound findings and extreme CA-125 elevation in the diagnosis of spontaneous endometrioma rupture: a case report.International journal of surgery case reports · 2026Article
- [Management of acute abdomen in clinical acute and emergency medicine : Focus on gastrointestinal diseases].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- Case Report: A case of jejunal T-cell non-Hodgkin lymphoma with secondary bone involvement presenting as gastrointestinal perforation.Frontiers in medicine · 2026Article
- Response to "Repositioning POCUS in the Diagnostic Landscape of Gastric Anisakiasis: A Call Toward Pragmatic Integration".Acute medicine & surgeryArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe acute abdomen is a life-threatening clinical entity that requires immediate diagnostic evaluation and appropriate treatment. 15-20% of emergency room patients with acute abdominal pain need interventional or surgical treatment.
methodsThis narrative review is based on publications retrieved by a PubMed search, current textbooks and guidelines, and the authors' personal experience.
resultsThe acute abdomen presents with the sudden onset of maximally intense abdominal pain, sometimes with guarding, and often with impaired general well-being, ranging to manifestations of shock. Its more common causes, aside from nonspecific abdominal pain (30-41%), are acute appendicitis (8-30%), cholecystitis (9-11%), and ileus (4-5%). The diagnosis is established by the history and physical examination, laboratory tests, imaging studies, and, in some cases, exploratory laparoscopy. The acute abdomen is generally a surgical condition, but it often requires interdisciplinary, multimodal treatment and follow-up. It carries a 2% to 12% mortality, with the figure rising for every elapsed hour until specific treatment is provided.
conclusionStructured, quality-controlled, rapid, and targeted diagnosis and treatment markedly lower the morbidity and mortality of patients presenting with an acute abdomen.
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