Acute surgical diseases with abdominal pain syndrome in pubertal girls

Aim - to study the prevalence and structure of acute surgical diseases with abdominal pain syndrome (ABS) among girls of pubertal age to develop algorithms for timely recognition and treatment. Materials and methods. A retrospective analysis of 255 cases of hospitalization of girls aged 11-17 years diagnosed with ABS in Vinnytsia region for the period from 2018 to 2023 was conducted. The data processing was performed using medical statistics. Results. The most common diagnosis among girls with ABS was acute appendicitis (69.4% of cases), while gynecological diseases (ovarian cysts, salpingitis) accounted for 27%. It was noted that the proportion of gynecological diseases increased in 2022-2023, especially among girls aged 14-17 years. It was found that in 53.85% of cases the diagnosis was delayed for more than 4 hours, which indicates the complexity of differential diagnosis. Conclusions. The increase in cases of gynecological pathologies with ABS among pubertal girls indicates the need for in-depth interdisciplinary diagnosis. The data obtained indicate the importance of developing algorithms for the timely recognition and treatment of ABS in young patients. The study was conducted in accordance with the principles of the Declaration of Helsinki. The study protocol was approved by the Local Ethics Committee for all participants. Informed consent was obtained from patients. There was no conflict of interest.