Outcome of the acute abdomen in patients with previous spinal cord injury

Miller, B. J., Geraghty, T. J., Wong, C. H., Hall, D. F. and Cohen, J. R. (2001) Outcome of the acute abdomen in patients with previous spinal cord injury. Australian And New Zealand Journal of Surgery, 71 7: 407-411. doi:10.1046/j.1440-1622.2001.02146.x


Author Miller, B. J.
Geraghty, T. J.
Wong, C. H.
Hall, D. F.
Cohen, J. R.
Title Outcome of the acute abdomen in patients with previous spinal cord injury
Journal name Australian And New Zealand Journal of Surgery   Check publisher's open access policy
ISSN 1445-1433
Publication date 2001-01-01
Sub-type Article (original research)
DOI 10.1046/j.1440-1622.2001.02146.x
Volume 71
Issue 7
Start page 407
End page 411
Total pages 5
Editor R. S. J. Thomas
Place of publication Carlton, Australia
Publisher The Royal Australasian College of Surgeons
Language eng
Subject C1
321029 Surgery
730109 Surgical methods and procedures
1103 Clinical Sciences
Abstract Background: Patients with spinal cord injury (SCI) have always posed difficulties for the diagnosis of an acute abdomen. The aim of the present study was to define this problem retrospectively at Princess Alexandra Hospital and to assess the results of treatment for these patients. Methods: A retrospective review was conducted of 133 SCI patients admitted with an acute abdomen in the 16 years prior to this analysis at the Spinal Injuries Unit (SIU) of Princess Alexandra Hospital. There were 21 patients who conformed to the study criteria. All the patients had sustained traumatic SCI at or above the level of T11, more than 1 month prior to admission. Results: There were 13 male and eight female patients. The time lapse between SCI and the onset of an acute abdomen ranged from 1.5 months to 27 years. The age range was 26-79 years. The majority of patients had C6 injuries (six patients). There were 18 patients with injury levels above T6 and three patients with injuries below this level. The time taken to diagnose the cause of the acute abdomen ranged between 1 day and 3 months. Investigations were found to be useful in making the diagnoses in 61.9% of cases. There were 14 patients who had surgical interventions. Five patients had surgical complications and there were two deaths in the study. The length of follow up was 1-132 months. The mortality in the study was 9.5%. Conclusion: An aggressive approach to the diagnosis and treatment of the acute abdomen in SCI patients with suspicious symptoms is recommended. A high index of suspicion should be maintained in those patients with pre-existing SCI who present with abdominal trauma.
Keyword Surgery
Acute Abdomen
Spinal Cord Injury
Diagnosis
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 02:32:58 EST