Causes of acute abdomen, preferred imaging methods, and prognoses in geriatric patients presenting to the emergency department with abdominal pain

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dc.contributor.authorIlgar, Mehtap
dc.contributor.authorAkcicek, Mehmet
dc.contributor.authorEkmekyapar, Muhammed
dc.date.accessioned2026-06-19T06:38:08Z
dc.date.available2026-06-19T06:38:08Z
dc.date.issued2022
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractOBJECTIVE: Abdominal pain is one of the most common reasons for admission to the emergency department in the geriatric population. The aim of this study was to investigate the diseases frequently detected in elderly patients diagnosed with acute abdomen in the emergency department, the imaging methods used in the diagnostic processes of these diseases, and the prognosis of the patients. METHODS: In all, 175 patients who visited the emergency department due to abdominal pain and were hospitalized with a diagnosis of acute abdomen were evaluated. The patients were categorized into seven groups according to their diagnosis as biliary diseases, pancreatitis, appendicitis, gastrointestinal system perforation, ileus, mesenteric ischemia, and atypical causes. RESULTS: The mean age of the patients was 76.3 +/- 7.7 years (range 65-93), and 96 (54.9%) were women. The most common causes of acute abdomen were biliary diseases and pancreatitis. Ultrasonography (88.6%) was the most frequently preferred imaging method in the emergency department, and it was most frequently used for biliary diseases. Notably, 20 (11.4%) patients were treated in the intensive care unit, and 9 (5.1%) patients died. CONCLUSION: The most common causes of acute abdomen in the geriatric population were biliary diseases and pancreatitis, and ultrasonography imaging was the most common choice for the diagnosis of these diseases. In elderly patients with abdominal pain, rapid and accurate diagnosis and selection of the correct imaging method are extremely important.
dc.identifier.doi10.1590/1806-9282.20220882
dc.identifier.endpage1729
dc.identifier.issn0104-4230
dc.identifier.issn1806-9282
dc.identifier.issue12
dc.identifier.orcid0000-0001-9064-8123
dc.identifier.orcid0000-0002-0232-1284
dc.identifier.pmid36449801
dc.identifier.scopus2-s2.0-85144597620
dc.identifier.scopusqualityQ2
dc.identifier.startpage1726
dc.identifier.urihttps://doi.org/10.1590/1806-9282.20220882
dc.identifier.urihttps://hdl.handle.net/20.500.12899/5407
dc.identifier.volume68
dc.identifier.wosWOS:000904384200025
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherAssoc Medica Brasileira
dc.relation.ispartofRevista Da Associacao Medica Brasileira
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260612
dc.subjectAcute Abdomen
dc.subjectAged
dc.subjectRadiological Imaging
dc.titleCauses of acute abdomen, preferred imaging methods, and prognoses in geriatric patients presenting to the emergency department with abdominal pain
dc.typeArticle

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