Disclaimer: this record is a non mandatory recommendation to help in health care decision making process. After reading it, patients are encouraged to review the information carefully with their physicians. Never disregard professional medical advice.
- Acute abdominal pain is one of the most common reasons for consulting emergency hospital services and one that requires timely and accurate assessment.
- Plain abdominal X-rays in cases of acute abdominal pain should not be the routine procedure, since it fails to provide relevant information for patient management.
- The effective dose of ionizing radiation from a plain abdominal X-ray is 35 times that of a chest X-ray.
Carried out with the support of
Feyler S, Williamson V, King D. Plain abdominal radiographs in acute medical emergencies: an abused investigation?
Postgrad Med J. 2002;78(916):94-6.
Morris-Stiff G, Stiff RE, Morris-Stiff H. Abdominal radiograph requesting in the setting of acute abdominal pain: temporal trends and appropriateness of requesting.
Ann R Coll Surg Engl. 2006;88(3):270-4.
Karkhanis S, Medcalf J. Plain abdomen radiographs: the right view?
Eur J Emerg Med. 2009;16(5):267-70.
Smith JE, Hall EJ. The use of plain abdominal X rays in the emergency department.
Emerg Med J. 2009;26(3):160-3.
Anyanwu AC, Moalypour SM. Are abdominal radiographs still overutilized in the assessment of acute abdominal pain? A district general hospital audit.
J R Coll Surg Edinb. 1998;43(4):267-70.
Van Randen A, Laméris W, Luitse JS, Gorzeman M, Hesselink EJ, Dolmans DE, et al. The role of plain radiographs in patients with acute abdominal pain at the ED.
Am J Emerg Med. 2011; 29:582-9.
Flak B, Rowley VA. Acute abdomen: plain film utilization and analysis.
Can Assoc Radiol J. 1993;44(6):423- 8.
European Commission. Radiation Protection 118.
Referral Guidelines for Radiologists; 2008.
Mirvis SE, Young JW, Keramati B, McCrea ES, Tarr R. Plain film evaluation of patients with abdominal pain: are three radiographs necessary?
AJR Am J Roentgenol. 1986; 47:501-3.
Remedios D, McCoubrie P, The Royal College Of Radiologists Guidelines Working Party. Making the best use of clinical radiology services: referral guidelines.
Clin Radiol. 2007;62(10):919-20.