Acute abdominal pain and urgency to defecate in the young and the old: a useful symptom-complex?

Abstract

In the belief that "pattern recognition" is an important first step of the diagnostic process, we report our observation of an uncommon and heretofore poorly documented symptom-complex in 10 patients, and suggest that the constellation of abdominal pain and urgency to defecate in the acutely ill surgical patient should raise the diagnostic possibility of intra-abdominal bleeding. In our experience, this is statistically likely to be associated with a ruptured abdominal aortic aneurysm in the old and a ruptured ectopic pregnancy in the young.

Cite this paper

@article{Hadjis1999AcuteAP, title={Acute abdominal pain and urgency to defecate in the young and the old: a useful symptom-complex?}, author={Nicholas S Hadjis and Gr{\'a}inne McAuley and Leyo Ruo and Sabrina Kwauk and Femi Olatunbosun}, journal={The Journal of emergency medicine}, year={1999}, volume={17 2}, pages={239-42} }