A.V. PERTSEV, V.I. GRECHKIN, B.B. ROMASHOV, G.I. SAPRONOV

N.N. Burdenko Voronezh State Medical University, 10 Studencheskaya Str., Voronezh, Russian Federation, 394036

 Pertsev A.V. — post-graduate student of the Department of Faculty Therapy, tel.: +7-952-555-58-47; (473) 263-81-30, e-mail: pertsev.vrn@yandex.ru

Grechkin V.I. — Cand. Med. Sc, Associate Professor of the Department of Faculty Therapy, tel.: (473) 263-81-30, e-mail: k.f.ter@yandex.ru

Romashov B.B. — Cand. Med. Sc, Assistant Lecturer of the Department of Faculty Therapy, tel. (473) 263-81-30,  e-mail: k.f.ter@yandex.ru

Sapronov G.I. — Cand. Med. Sc, Associate Professor of the Department of Disaster Medicine and Life Safety, tel. (473) 253-04-49, e-mail: medkat@vsmaburdenko.ru

 The article presents a retrospective analysis of the results of ultrasound examination of 140 patients with acute abdominal pain syndrome. In 49 patients, pain was localized in the upper right quadrant of the abdomen, in 36 patients — in the lower right quadrant, in 17 cases — in the upper left quadrant, and in 19 cases — in the lower left quadrant; 19 people had extended pain. The analysis of ultrasound sensitivity depending on the localization of pain syndrome and the scope of the study showed that the localized ultrasound had higher rates in identifying the cause of pain syndrome in the upper right quadrant of the abdomen (75.5%) and the lowest — in the lower right quadrant (25%). Approximately the same was the focused examination sensitivity if the pain was localized in the upper left and lower left quadrants (41.1 and 36.8%, respectively). The comprehensive ultrasound examination of acute abdominal pain syndrome allows making a correct diagnosis in most cases, which contributes to the timely provision of emergency care. Thus, the extended examination of all quadrants of the abdomen was the most informative to determine the causes of acute abdominal pain.

Key words: ultrasound examination, acute abdominal pain syndrome, urgent and emergency situations

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