Canis ISSN: 2398-2942

Acute abdomen: investigation

Synonym(s): Surgical abdomen

Contributor(s): Steven Marks, Elisa Mazzaferro, Zoe Halfacree

Introduction

  • Acute onset of abdominal pain.
  • Prompt diagnosis and immediate medical or surgical intervention necessary to prevent deterioration of patient.
    Follow the diagnostic tree for Acute Abdominal Pain Acute Abdominal Pain.

Pathogenesis

Etiology

  • Depends on primary cause.
  • Sources of abdominal pain include the following systems:
    • Urogenital.
    • Gastrointestinal.
    • Splenic.
    • Hepatobiliary.
    • Pancreatic.
    • Peritoneal.
  • Displacement, obstruction or distention, inflammation or infection, perforation or rupture, and/or vascular compromise in any of these systems can result in somatic or visceral pain and the presentation of an acute abdomen.

Pathophysiology

  • Abdominal pain caused by distention/stretch, inflammation or ischemia of solid or hollow abdominal organs, mesentery or parietal peritoneum.
  • Ischemia and inflammation can also result in activation of pain receptors via the release of mediators such as bradykinin, serotonin, histamine and eicosanoids.

Timecourse

  • Acute onset.

Diagnosis

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Treatment

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Walters J M (2003) Abdominal paracentesis and diagnostic peritoneal lavage. Clin Tech Small Anim Pract 18 (1), 32-38 PubMed.
  • Walters P C (2000) Approach to the acute abdomen. Clin Tech Small Anim Pract 15 (2), 63-69 PubMed.
  • Macintire D K (1988) The acute abdomen - differential diagnosis and management. Semin in Vet Med Surg (Small Anim) 3 (4), 302-310 PubMed.

Other sources of information

  • Boag A & Huges D (2008) Emergency management of the acute abdomen in dogs and cats. 1. Investigation and stabilisation. In Practice 26, 9.
  • Mann F A (2000) Acute Abdomen: Evaluation an Emergency Treatment. Current Veterinary Therapy XIII. Ed J D Bonagura. WB Saunders Company, Philadelphia. pp160-164.
  • Holt D & Brown D (1999) Acute abdomen and gastrointestinal emergencies. In: Manual of Canine and Feline Emergency and Critical Care. Eds L G King and R Hammond R. British Small Animal Veterinary Association, United Kingdom. pp. 127-144.
  • Kleine L J (1997) Radiology of acute abdominal disorders of the dog and cat (Parts I and II). In: Emergency Medicine in Small Animal Practice: The Compendium Collection.Veterinary Learning Systems, Trenton, NJ. pp. 336-351.

 


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