Evaluation of female patients of childbearing age who applied to the emergency medicine deparment with abdominal pain

ABSTRACT Aim: Acute abdominal pain constitutes 5-10% of emergency department admissions in all age and gender groups. This situation, which is etiologically diverse, is important for the early diagnosis of the causes of fatal abdominal pain, which has a risk with the increasing number of patients in the emergency services. The aim of this study is to evaluate the diagnoses in female patients of childbearing age who presented with non-traumatic abdominal pain. Material and Methods: A prospective, cross-sectional study was planned by including demographic and clinical information of female patients of childbearing age, aged 18-50 years, admitted to the tertiary hospital emergency department between March and September 2020 due to non-traumatic abdominal pain. Result: 167 female patients with non-traumatic abdominal pain were included in the study. The most common complaint was nausea-vomiting (41.3%) and the mean duration of the complaint was 24 hours. In the physical examination, abdominal tenderness was the most common in 74.9%. During the diagnosis of the patients, 95.2% of the patients were tested for blood, urine and stool; Imaging tests such as ADBG, USG, MR or CT were requested in 61.7% of them, and the most common urinary system infection was diagnosed with a rate of 24%. Conclusion: In addition to the detection of the pathological condition causing abdominal pain, accompanying comorbid conditions and previous operation history should be questioned. As well as having an important place in reaching the correct diagnosis, imaging studies are also seen as an escape point in terms of emergency room crowds, hospitalization and surgical treatment. Key Words: Fertility age, Woman, Non-Traumatic Abdominal Pain, Emergency Medicine