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Abdominal guarding

MedGen UID:
536834
•Concept ID:
C0238547
•
Finding
SNOMED CT: Abdominal guarding (249545003)
 
HPO: HP:0032546

Definition

A voluntary contraction of the abdominal wall musculature to avoid pain. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAbdominal guarding

Professional guidelines

PubMed

A new clinical severity score for the management of acute small bowel obstruction in predicting bowel ischemia: a cohort study.
Wassmer CH, Revol R, Uhe I, Chevallay M, Toso C, Gervaz P, Morel P, Poletti PA, Platon A, Ris F, Schwenter F, Perneger T, Meier RPH
Int J Surg 2023 Jun 1;109(6):1620-1628. doi: 10.1097/JS9.0000000000000171. PMID: 37026805Free PMC Article
A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction.
Rami Reddy SR, Cappell MS
Curr Gastroenterol Rep 2017 Jun;19(6):28. doi: 10.1007/s11894-017-0566-9. PMID: 28439845
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166

Recent clinical studies

Etiology

Clinical Features and Preventability of Delayed Diagnosis of Pediatric Appendicitis.
Michelson KA, Reeves SD, Grubenhoff JA, Cruz AT, Chaudhari PP, Dart AH, Finkelstein JA, Bachur RG
JAMA Netw Open 2021 Aug 2;4(8):e2122248. doi: 10.1001/jamanetworkopen.2021.22248. PMID: 34463745Free PMC Article
Risk factors of conversion in laparoscopic cholecystectomies for lithiasic acute cholecystitis. Results of a monocentric study and review of the literature.
Jarrar MS, Fourati A, Fadhl H, Youssef S, Mahjoub M, Khouadja H, Hafsa A, Mraidha MH, Ghali A, Hamila F, Letaief R
Tunis Med 2019 Feb;97(2):344-351. PMID: 31539093
Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management.
Firetto MC, Sala F, Petrini M, Lemos AA, Canini T, Magnone S, Fornoni G, Cortinovis I, Sironi S, Biondetti PR
Emerg Radiol 2018 Oct;25(5):461-467. Epub 2018 Apr 27 doi: 10.1007/s10140-018-1608-9. PMID: 29700647
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166
Hemoperitoneum assessment in ectopic pregnancy.
Popowski T, Huchon C, Toret-Labeeuw F, Chantry AA, Aegerter P, Fauconnier A
Int J Gynaecol Obstet 2012 Feb;116(2):97-100. Epub 2011 Nov 17 doi: 10.1016/j.ijgo.2011.09.019. PMID: 22093494

Diagnosis

Clinical Features and Preventability of Delayed Diagnosis of Pediatric Appendicitis.
Michelson KA, Reeves SD, Grubenhoff JA, Cruz AT, Chaudhari PP, Dart AH, Finkelstein JA, Bachur RG
JAMA Netw Open 2021 Aug 2;4(8):e2122248. doi: 10.1001/jamanetworkopen.2021.22248. PMID: 34463745Free PMC Article
Premenarchal Adolescent Female Ovarian Torsion: A Case of Delayed Diagnosis.
Aljohani M, Aljahany M, Elbasheer SY, AboWadaan MB, Kentab O
Am J Case Rep 2021 Aug 16;22:e932245. doi: 10.12659/AJCR.932245. PMID: 34393217Free PMC Article
Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management.
Firetto MC, Sala F, Petrini M, Lemos AA, Canini T, Magnone S, Fornoni G, Cortinovis I, Sironi S, Biondetti PR
Emerg Radiol 2018 Oct;25(5):461-467. Epub 2018 Apr 27 doi: 10.1007/s10140-018-1608-9. PMID: 29700647
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166
Abdominal guarding.
Geraghty JG
Ir Med J 1992 Jun;85(2):49. PMID: 1385801

Therapy

Risk factors of conversion in laparoscopic cholecystectomies for lithiasic acute cholecystitis. Results of a monocentric study and review of the literature.
Jarrar MS, Fourati A, Fadhl H, Youssef S, Mahjoub M, Khouadja H, Hafsa A, Mraidha MH, Ghali A, Hamila F, Letaief R
Tunis Med 2019 Feb;97(2):344-351. PMID: 31539093
Development and validation of a diagnostic prediction model distinguishing complicated from uncomplicated diverticulitis.
Bolkenstein HE, van de Wall BJ, Consten EC, van der Palen J, Broeders IA, Draaisma WA
Scand J Gastroenterol 2018 Oct-Nov;53(10-11):1291-1297. Epub 2018 Nov 5 doi: 10.1080/00365521.2018.1517188. PMID: 30394135
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166
Managing the blue man: multiple traumas involving a paint-carrying truck.
Kaptanoglu AF, Koyuncu N, Tayanc E, Karcioglu O
Mt Sinai J Med 2006 Nov;73(7):1052-4. PMID: 17195898
Oxycodone vs placebo in children with undifferentiated abdominal pain: a randomized, double-blind clinical trial of the effect of analgesia on diagnostic accuracy.
Kokki H, Lintula H, Vanamo K, Heiskanen M, Eskelinen M
Arch Pediatr Adolesc Med 2005 Apr;159(4):320-5. doi: 10.1001/archpedi.159.4.320. PMID: 15809382

Prognosis

A new clinical severity score for the management of acute small bowel obstruction in predicting bowel ischemia: a cohort study.
Wassmer CH, Revol R, Uhe I, Chevallay M, Toso C, Gervaz P, Morel P, Poletti PA, Platon A, Ris F, Schwenter F, Perneger T, Meier RPH
Int J Surg 2023 Jun 1;109(6):1620-1628. doi: 10.1097/JS9.0000000000000171. PMID: 37026805Free PMC Article
Gastric Pneumatosis with Portal Venous Gas can be Treated Non-operatively: A Retrospective Multi-institutional Study.
Epin A, Passot G, Christou N, Monneuse O, Mabrut JY, Ferrero PA, Caudron S, Pezet D, Magnin B, Grange R, Lambert C, Williet N, Flaris AN, Le Roy B
World J Surg 2022 Apr;46(4):784-790. Epub 2022 Feb 6 doi: 10.1007/s00268-021-06433-5. PMID: 35128570
Development and validation of a diagnostic prediction model distinguishing complicated from uncomplicated diverticulitis.
Bolkenstein HE, van de Wall BJ, Consten EC, van der Palen J, Broeders IA, Draaisma WA
Scand J Gastroenterol 2018 Oct-Nov;53(10-11):1291-1297. Epub 2018 Nov 5 doi: 10.1080/00365521.2018.1517188. PMID: 30394135
Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management.
Firetto MC, Sala F, Petrini M, Lemos AA, Canini T, Magnone S, Fornoni G, Cortinovis I, Sironi S, Biondetti PR
Emerg Radiol 2018 Oct;25(5):461-467. Epub 2018 Apr 27 doi: 10.1007/s10140-018-1608-9. PMID: 29700647
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166

Clinical prediction guides

Gastric Pneumatosis with Portal Venous Gas can be Treated Non-operatively: A Retrospective Multi-institutional Study.
Epin A, Passot G, Christou N, Monneuse O, Mabrut JY, Ferrero PA, Caudron S, Pezet D, Magnin B, Grange R, Lambert C, Williet N, Flaris AN, Le Roy B
World J Surg 2022 Apr;46(4):784-790. Epub 2022 Feb 6 doi: 10.1007/s00268-021-06433-5. PMID: 35128570
Clinical Features and Preventability of Delayed Diagnosis of Pediatric Appendicitis.
Michelson KA, Reeves SD, Grubenhoff JA, Cruz AT, Chaudhari PP, Dart AH, Finkelstein JA, Bachur RG
JAMA Netw Open 2021 Aug 2;4(8):e2122248. doi: 10.1001/jamanetworkopen.2021.22248. PMID: 34463745Free PMC Article
Development and validation of a diagnostic prediction model distinguishing complicated from uncomplicated diverticulitis.
Bolkenstein HE, van de Wall BJ, Consten EC, van der Palen J, Broeders IA, Draaisma WA
Scand J Gastroenterol 2018 Oct-Nov;53(10-11):1291-1297. Epub 2018 Nov 5 doi: 10.1080/00365521.2018.1517188. PMID: 30394135
Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management.
Firetto MC, Sala F, Petrini M, Lemos AA, Canini T, Magnone S, Fornoni G, Cortinovis I, Sironi S, Biondetti PR
Emerg Radiol 2018 Oct;25(5):461-467. Epub 2018 Apr 27 doi: 10.1007/s10140-018-1608-9. PMID: 29700647
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166

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