Acute abdomen in the elderly

Acute abdomen in the elderly is a frequent disease with acute abdominal pain as its main feature and a series of symptoms such as acute systemic symptoms. It has the characteristics of rapid onset, rapid development, severe illness, multiple changes and complex etiology. It involves inflammation, obstruction, bleeding, circulatory disorders, perforation, infection, humoral disorders, and shock in various system organs such as digestion, urinary and reproductive systems. Elderly people are susceptible to misdiagnosis and treatment due to decreased organ function, reduced response capacity, and atypical clinical manifestations. Therefore, for elderly patients with acute abdomen, it is necessary to grasp its characteristics and the changing pattern of the disease, in order to achieve early correct diagnosis and timely and effective treatment.