Clinical Presentations and Surgical Outcomes in Patients with Nontraumatic Acute Abdominal pain

Muhammad Daraz Khan; Islam Noor; Altaf Ahmad; Samreen Kibria Siddiqui; Mian Umar Javed; Muhammad Tariq Nazir; Muhammad Rashid Waheed

doi:10.70749/ijbr.v3i1.521

Authors

Muhammad Daraz Khan Departmen of Paediatrics Surgery, Khalifa Gull Nawaz Medical Teaching Institute, Bannu, KP, Pakistan.
Islam Noor Department General Surgery, Lady Reading Hospital, Peshawar, KP, Pakistan.
Altaf Ahmad Department of Urology, Timergara Teaching Hospital, Dir Lower, Timergara, KP, Pakistan.
Samreen Kibria Siddiqui Department of Emergency, RIMS Trauma Hospital, Karachi, Sindh, Pakistan.
Mian Umar Javed Department of General Surgery, Allama Iqbal Medical College, Jinnah Hospital, Lahore, Punjab, Pakistan.
Muhammad Tariq Nazir Department of Surgery, Services Institute of Medical Sciences/Services Hospital Lahore, Punjab, Pakistan.
Muhammad Rashid Waheed Department of General Surgery, New Jahra Hospital, Kuwait.

DOI:

https://doi.org/10.70749/ijbr.v3i1.521

Keywords:

Nontraumatic Acute Abdominal Pain, Clinical Presentations, Surgical Outcomes, Emergency Surgery, Postoperative Complications

Abstract

Background: Nontraumatic acute abdominal pain is a common cause of emergency department visits, encompassing a wide range of etiologies. Accurate diagnosis and timely management are critical to improving patient outcomes. Objective: The main objective of the study is to find the clinical presentations and surgical outcomes in patients with nontraumatic acute abdominal pain. Methodology: This retrospective observational study was conducted at Khalifa Gull Nawaz Medical Teaching Institute, Bannu. from 1st September 2023 to 30th August 2024. Data were collected from 221 patients. Results: Among the 221 patients, 126 (57%) were male, with a mean age of 45 ± 15 years. The most common conditions were acute appendicitis (36%), cholecystitis (18%), and intestinal obstruction (15%). Surgical management was performed in 138 patients (62%), with appendectomy being the most common procedure (58% of surgical cases). Conservative management was successful in 90% of cases. The overall complication rate was 12%, and the mortality rate was 1.8%. Early surgical intervention was associated with shorter hospital stays (4.5 ± 1.5 days) compared to delayed surgeries (7 ± 3 days). Conclusion: It is concluded that nontraumatic acute abdominal pain requires a structured diagnostic approach and tailored management. Early surgical intervention improves outcomes, while conservative management is effective in selected cases.

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