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Abstract
Background: To determine the prevalence and
management outcome in female patients presenting
to general surgeon with acute abdomen due to
gynecological causes.
Methods: In this observational, descriptive study
female patients presenting in emergency with acute
abdomen were evaluated. Management either
conservative or intervention was planned. Patients
with acute abdomen that were diagnosed due to
gynecological causes were included in the study.
Results: Over a period of two years, a total of 449
female patients with acute abdomen, were managed.
Seventy nine (17.59%) patients were diagnosed as
acute abdomen secondary to gynecological causes.
Most of the patients (59%) were of child bearing age.
Pain in the right iliac fossa was the commonest
presenting symptom (54.43%). Surgical exploration
was required in 68.35% patients. Ruptured ovarian
cyst and adnexal torsion was the most frequent
peroperative diagnosis.
Conclusion: Acute abdominal symptoms in
females need a thorough work up due to varied
presentations, diagnoses and management options