Acute Abdomen - in Special and Comorbid Cases

The term acute abdomen became popular in the beginning of the last century, and it meant that the surgeon is faced with an abdominal event or surgical abdomen that needs emergent surgery, and morbidity and mortality dramatically increased if surgery postponed. During the years better paraclinical and laboratory modalities became routine, and the surgeons were able to diagnose the event exactly and act accordingly in most usual cases; so the old saying “open and see, rather than wait and see” became less reliable. Since acute abdominal conditions has more or less the same clinical and Paraclinical Signs and Sympatoms; the present article is meant mostly to deal with special cases in patients with comorbidities, because due to their compromised immune response, the clinical and laboratory findings has not changed pathological. These special conditions includes children, elderlies, morbid obese, diabetics, renal failure, postoperative cardiac patients and comorbidities as well as heavy smokers, alcohol and substance abusers; and last but not least patient with severe immune deficiency like HIV and the like; which needs special attention and frequent clinical and paraclinical evaluation for proper decision making.