Cancer Emergencies

The Acute Abdomen

Jonathan S. Ilgen, Marr Amy

Research output: Contribution to journalReview article

3 Citations (Scopus)

Abstract

The most common complaints among patients with cancer who present to the emergency department are related to the gastrointestinal system, and 40% of these patients complain of abdominal pain. These presentations can stem from the underlying malignancy itself, treatment directed toward the disease, or the full range of pathologies present in a healthy population. Immunosuppression may blunt many of the findings one expects in a healthy population of patients, thus rendering the clinical exam less reliable in many patients with cancer. Moreover, the degree of immunosuppression shapes both the types of pathologies the clinician should consider and the rate at which the disease may progress. Understanding the limitations of physical examination, pathophysiology of disease, and the methods by which these diagnoses are established is of critical importance in this population. This article focuses specifically on patients with cancer who present with an acute abdomen, and it discusses how a concurrent malignancy can shape the differential diagnosis in these cases.

Original languageEnglish (US)
Pages (from-to)381-399
Number of pages19
JournalEmergency Medicine Clinics of North America
Volume27
Issue number3
DOIs
StatePublished - Jan 1 2009

Fingerprint

Acute Abdomen
Emergencies
Neoplasms
Immunosuppression
Pathology
Population
Abdominal Pain
Physical Examination
Hospital Emergency Service
Differential Diagnosis

Keywords

  • Abdominal pain
  • Immunosuppression
  • Malignancy
  • Malignant bowel obstruction
  • Management

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Cancer Emergencies : The Acute Abdomen. / Ilgen, Jonathan S.; Amy, Marr.

In: Emergency Medicine Clinics of North America, Vol. 27, No. 3, 01.01.2009, p. 381-399.

Research output: Contribution to journalReview article

Ilgen, Jonathan S. ; Amy, Marr. / Cancer Emergencies : The Acute Abdomen. In: Emergency Medicine Clinics of North America. 2009 ; Vol. 27, No. 3. pp. 381-399.
@article{bcf717cedc254abba66c2d613a5b53c2,
title = "Cancer Emergencies: The Acute Abdomen",
abstract = "The most common complaints among patients with cancer who present to the emergency department are related to the gastrointestinal system, and 40{\%} of these patients complain of abdominal pain. These presentations can stem from the underlying malignancy itself, treatment directed toward the disease, or the full range of pathologies present in a healthy population. Immunosuppression may blunt many of the findings one expects in a healthy population of patients, thus rendering the clinical exam less reliable in many patients with cancer. Moreover, the degree of immunosuppression shapes both the types of pathologies the clinician should consider and the rate at which the disease may progress. Understanding the limitations of physical examination, pathophysiology of disease, and the methods by which these diagnoses are established is of critical importance in this population. This article focuses specifically on patients with cancer who present with an acute abdomen, and it discusses how a concurrent malignancy can shape the differential diagnosis in these cases.",
keywords = "Abdominal pain, Immunosuppression, Malignancy, Malignant bowel obstruction, Management",
author = "Ilgen, {Jonathan S.} and Marr Amy",
year = "2009",
month = "1",
day = "1",
doi = "10.1016/j.emc.2009.04.006",
language = "English (US)",
volume = "27",
pages = "381--399",
journal = "Emergency Medicine Clinics of North America",
issn = "0733-8627",
publisher = "W.B. Saunders Ltd",
number = "3",

}

TY - JOUR

T1 - Cancer Emergencies

T2 - The Acute Abdomen

AU - Ilgen, Jonathan S.

AU - Amy, Marr

PY - 2009/1/1

Y1 - 2009/1/1

N2 - The most common complaints among patients with cancer who present to the emergency department are related to the gastrointestinal system, and 40% of these patients complain of abdominal pain. These presentations can stem from the underlying malignancy itself, treatment directed toward the disease, or the full range of pathologies present in a healthy population. Immunosuppression may blunt many of the findings one expects in a healthy population of patients, thus rendering the clinical exam less reliable in many patients with cancer. Moreover, the degree of immunosuppression shapes both the types of pathologies the clinician should consider and the rate at which the disease may progress. Understanding the limitations of physical examination, pathophysiology of disease, and the methods by which these diagnoses are established is of critical importance in this population. This article focuses specifically on patients with cancer who present with an acute abdomen, and it discusses how a concurrent malignancy can shape the differential diagnosis in these cases.

AB - The most common complaints among patients with cancer who present to the emergency department are related to the gastrointestinal system, and 40% of these patients complain of abdominal pain. These presentations can stem from the underlying malignancy itself, treatment directed toward the disease, or the full range of pathologies present in a healthy population. Immunosuppression may blunt many of the findings one expects in a healthy population of patients, thus rendering the clinical exam less reliable in many patients with cancer. Moreover, the degree of immunosuppression shapes both the types of pathologies the clinician should consider and the rate at which the disease may progress. Understanding the limitations of physical examination, pathophysiology of disease, and the methods by which these diagnoses are established is of critical importance in this population. This article focuses specifically on patients with cancer who present with an acute abdomen, and it discusses how a concurrent malignancy can shape the differential diagnosis in these cases.

KW - Abdominal pain

KW - Immunosuppression

KW - Malignancy

KW - Malignant bowel obstruction

KW - Management

UR - http://www.scopus.com/inward/record.url?scp=67651171380&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67651171380&partnerID=8YFLogxK

U2 - 10.1016/j.emc.2009.04.006

DO - 10.1016/j.emc.2009.04.006

M3 - Review article

VL - 27

SP - 381

EP - 399

JO - Emergency Medicine Clinics of North America

JF - Emergency Medicine Clinics of North America

SN - 0733-8627

IS - 3

ER -