Abstract
Objective: The objective of this study was to determine the frequency of unnecessary
plain abdominal films and the magnitude of their impact in management plan of
abdominal pain.
Methods: This was a prospective cohort study conducted at Isra University Hospital,
Hyderabad between 1st February 2006 and 31st July 2006. Eighty three patients
undergoing plain abdominal radiography in emergency room during the above mentioned
period were included. Pre–radiograph clinical diagnoses and final diagnoses were
compared with special reference to the impact of radiograph on the change in diagnosis
and treatment plan. The indications were analyzed on the basis of Royal College of
Radiologists (RCR) guidelines.
Results: RCR guidelines were observed in only 30% of the patients whereas 65%
abdominal radiographs did not reveal any significant finding. Definite final diagnoses
were derived on these abdominal radiographs in only 35% of the patients.
2
Conclusion: In most of the patients the abdominal radiographs were unnecessary.
Adherence to RCR guidelines will decrease the economic burden as well as the
unnecessary radiation exposure. (Rawal Med J 2007;32:47-49)

Key words: Plain abdominal film, abdominal pain, Royal College of Radiologists guidelines.