A Prospective study of Abdominal Malignancies Presenting as Abdominal Emergencies in a Tertiary Care Hospital

Raam Ratish, G (2019) A Prospective study of Abdominal Malignancies Presenting as Abdominal Emergencies in a Tertiary Care Hospital. Masters thesis, Madras Medical College, Chennai.

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Abstract

BACKGROUND: Oncological surgical emergencies of abdomen are challenging battlefields for surgeons with respect to choice of procedures in absence of opportunity for proper evaluation and support of multidisciplinary approach. For appropriate management, it is important to understand the epidemiological and clinical profile of this disease complex. METHODS: A prospective study of abdominal emergencies encountered in our institution was done over a period of one year and the malignancies were studied with respect to clinical presentation and epidemiological charachteristics. RESULTS: At our institution, the incidence of intraabdominal oncological emergencies requiring surgery was found to be 31% of total emergent presentation excluding abdominal trauma cases. Colonic malignancies (74%) and gastric malignancies (26%) were most common to present as emergency. Perforation peritonitis and GOO were most common presentations as acute emergency in carcinoma stomach. In colonic malignancies, obstruction was the only emergency presentation. CONCLUSION: Surgical intervention is often indispensible in the situation of a malignancy presenting as an emergency case , despite the awareness that most of these patients have only limited life expectancy.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Oncological emergencies, perforation, malignancies, cancer, surgical emergencies.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 04 Sep 2019 12:33
Last Modified: 06 Sep 2019 01:58
URI: http://repository-tnmgrmu.ac.in/id/eprint/11461

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