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Background: Abdominal pain is a common complaint in the surgical department. Emergency laparoscopy in patients with "acute abdomen" is a part of common surgical practice.Objective: Evaluation of the role of laparoscopy in management of acute abdominal pain.Patients and Methods: 100 patients with acute abdominal pain presented to the Department of Surgery, Al-Hussein and Al Minia Health Insurance Hospitals were included in the study during the period from April 2018 to April 2019. They were divided into two groups: known preoperative diagnosis (therapeutic n= 67 patients) and unknown (diagnostic and therapeutic n= 33 patients). Their ages ranged between 12 and 60 years old (35 patients were males and 65 patients were females). Laparoscopy was performed for all patients under general anesthesia. Results:The definitive diagnosis was established in 99 % of cases. 64 % of those cases were managed successfully by use of laparoscopy and conversion rate was 33 %. Time required for each operation varied according to the procedure. Intraoperative morbidity was 7 %, post-operative complications were 11 % and the mortality of study was 1%. Conclusion:Laparoscopic intervention for abdominal emergencies is safe, feasible and effective. It resulted in minor trauma, has a rapid postoperative recovery, and reduced morbidity. Laparoscopy can help to avoid unnecessary non-therapeutic laparotomies. It can also help to guide the operating surgeon for choosing the proper targeted incision.

Background: Abdominal trauma is the third leading cause of death in trauma patients and can be found in about 7-10% of the total number of trauma cases. The Blunt Abdominal Trauma Scoring System (BATSS) provides a high-accuracy score system for diagnosing injury to intra-abdominal organs in blunt abdominal trauma patients based on clinical features, such as patient history, physical examination.Objectives: To determine Blunt Abdominal Trauma patients 'signs, as well as clinical data, and to clarify the accuracy, sensitivity, specificity, positive and negative predictive value of Blunt Abdominal Trauma Severity Score (BATSS). Patients and methods:This was a cross sectional study that was conducted on 100 cases admitted with bunt abdominal trauma in Al-Hussein Hospital, Al-Azhar University from March 2020 to October 2020, which included 50 males (50%) and 50 females (50%), their ages ranged from 18.0 to 60.0 years (mean ±SD 38.53 ± 12.11); included majority of cases from 20 to 40 year (54%), after initial resuscitation and achieving hemodynamic stability, All patients were subjected to careful examination, and all patients underwent the FAST ultra sound and plain radiograph of chest and abdomen scan and blunt abdominal trauma severity score was calculated, decision was taken for further investigations and CT scan if the patient was stable. If patient was hemodynamic unstable, the patient was resuscitated and planned for emergency surgery if indicated.Results: 64% were High risk (≥12) according to blunt abdominal trauma severity score, 26% was of medium risk (8 -11), and only 10% was of low risk (< 8) 19% had perforated gut, 32% had spleen hematoma, 13% had liver tear, only 1% had kidney hematoma, and 1% had shattered spleen. There was non-statistical significant difference between presence or absence of mortality/morbidity and blunt abdominal trauma severity score, and there was statistical significant difference between procedure done and blunt abdominal trauma severity score. Conclusion:BATSS can be a tool of early identification and stratification of patients blunt abdominal trauma, and it is a new scoring system based on clinical signs, can be used in predicting whether a blunt abdominal trauma patient needs laparotomy or not.

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