l APAROSCOn IN DIAGNOSIS OF ACUTE LOWER ARDOMINAL PAIN
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Thirty patients with acute lower abdominal pain of uncertain diagnosis were the material of this study. After a short time of observation without a definitive diagnosis, laparoscopic exploration was performed to help in establishing a correct diagnosis and management and avoid unnecessary laparotomy. At laparoscopy the diagnosis of acute appendicitis was made in ten patients. Gynaecological pathology was diagnosed in thirteen patients, one . patient had Mekel's diverticulitis, while in six patients no definitive pathology was lbund One patient among the last six had acute appendicitis as the appendix was not visualized completely, laparoscopy reduced the number of unnecessary laparotomy. The procedures and the results were reviewed with the conclusion that laparoscopy is safe and useful as a diagnostic and therapeutic tool in management of patients with uncertain diagnosis of acute lower abdominal pain.