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Utilizing CT scan for Differential Diagnosis of Acute Abdominal Pain: A Retrospective Descriptive Study in King Khalid Hospital, Najran Province

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Last updated: 03 Jan 2025

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Abstract

The purpose: The objective of this study was to analyze the demographic characteristics, symptoms, indications, and CT scan findings of patients with acute abdominal pain. Methods: The study utilized a descriptive design and collected data from 50 patients. Information on demographic characteristics, symptoms, indications, abdominal quadrant pain, affected systems, CT scan protocols, contrast media use, primary CT scan diagnoses, and secondary CT scan diagnoses were recorded and analyzed. Result: The research examined a majority of male participants (66%) who were Saudi nationals (78%). In terms of age distribution, 34% of the participants were 30 years old or younger, 52% were between 30 and 60 years old, and 14% were 61 years old or older. The most commonly reported symptoms were stomachache and vomiting (40%), followed by distention (18%). Other symptoms included fatigue (14%), blood in urine (10%), fever (8%), diarrhea (6%), and constipation (4%). The most prevalent indication was upper abdominal pain (34%), followed by lower abdominal pain (24%). Additionally, cases of trauma due to road traffic accidents (14%), renal colic (12%), and trauma due to abdominal injury (8%) were reported. The left upper quadrant (LUQ) was the most frequently reported site of abdominal quadrant pain (40%), followed by the right lower quadrant (RLQ) (26%). The digestive system was the most commonly affected system (56%), followed by the urinary tract system (20%). The majority of CT scans focused on the abdomen and pelvis (86%), with only 14% solely focusing on the abdomen. 72% of the scans were performed without contrast media, while 28% involved its administration. Among the analyzed cases, 32% had normal CT scan results, while 68% were diagnosed with an abnormality. The most common secondary diagnoses from CT scans were digestive system problems (35%) and renal problems (20%). Less common secondary diagnoses included portal vein thrombosis (3%), lymphatic diseases (9%), liver diseases (12%), hernia (15%), bilobarpneumobilia (3%), and enlarged prostate (3%). Conclusion: this study provides valuable information on the demographic characteristics, symptoms, indications, and CT scan findings of patients with acute abdominal pain. This information can contribute to a better understanding of the condition and aid in its diagnosis and management.

DOI

10.21608/ejhc.2024.353609

Keywords

CT scan, Differential diagnosis, Acute abdominal pain, Najran Province, Retrospective study

Authors

First Name

Nagla

Last Name

Hussien Mohamed Khalid

MiddleName

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Affiliation

Faculty of Applied Medical Sciences, Radiological Science Department, Najran University

Email

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City

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Orcid

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First Name

Jihan

Last Name

Ibrahim Babiker

MiddleName

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Affiliation

Faculty of Applied Medical Sciences, Radiological Science Department, Najran University

Email

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City

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Orcid

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First Name

Zahra

Last Name

TaleaGhalib Alkayyadi

MiddleName

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Affiliation

Faculty of Applied Medical Sciences, Radiological Science Department, Najran University

Email

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City

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Orcid

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First Name

Reem

Last Name

Mohammed Ahmed Alghamdi

MiddleName

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Affiliation

Faculty of Applied Medical Sciences, Radiological Science Department, Najran University

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City

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Orcid

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First Name

Raghad

Last Name

Saeed Saran Alwadei

MiddleName

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Affiliation

Faculty of Applied Medical Sciences, Radiological Science Department, Najran University

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City

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Orcid

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First Name

Aeshah

Last Name

Hassan Mohammed Refaey

MiddleName

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Affiliation

Faculty of Applied Medical Sciences, Radiological Science Department, Najran University

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City

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Orcid

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First Name

Randa

Last Name

Yahya Mohammed Al-Zahrani

MiddleName

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Affiliation

Faculty of Applied Medical Sciences, Radiological Science Department, Najran University

Email

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City

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Orcid

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Volume

15

Article Issue

2

Related Issue

46847

Issue Date

2024-06-01

Receive Date

2024-05-07

Publish Date

2024-06-01

Page Start

285

Page End

293

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_353609.html

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https://ejhc.journals.ekb.eg/service?article_code=353609

Order

353,609

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Utilizing CT scan for Differential Diagnosis of Acute Abdominal Pain: A Retrospective Descriptive Study in King Khalid Hospital, Najran Province

Details

Type

Article

Created At

24 Dec 2024