U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Abdominal guarding

MedGen UID:
536834
•Concept ID:
C0238547
•
Finding
SNOMED CT: Abdominal guarding (249545003)
 
HPO: HP:0032546

Definition

A voluntary contraction of the abdominal wall musculature to avoid pain. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAbdominal guarding

Professional guidelines

PubMed

A new clinical severity score for the management of acute small bowel obstruction in predicting bowel ischemia: a cohort study.
Wassmer CH, Revol R, Uhe I, Chevallay M, Toso C, Gervaz P, Morel P, Poletti PA, Platon A, Ris F, Schwenter F, Perneger T, Meier RPH
Int J Surg 2023 Jun 1;109(6):1620-1628. doi: 10.1097/JS9.0000000000000171. PMID: 37026805Free PMC Article
A Systematic Review of the Clinical Presentation, Diagnosis, and Treatment of Small Bowel Obstruction.
Rami Reddy SR, Cappell MS
Curr Gastroenterol Rep 2017 Jun;19(6):28. doi: 10.1007/s11894-017-0566-9. PMID: 28439845
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166

Recent clinical studies

Etiology

Gastric Pneumatosis with Portal Venous Gas can be Treated Non-operatively: A Retrospective Multi-institutional Study.
Epin A, Passot G, Christou N, Monneuse O, Mabrut JY, Ferrero PA, Caudron S, Pezet D, Magnin B, Grange R, Lambert C, Williet N, Flaris AN, Le Roy B
World J Surg 2022 Apr;46(4):784-790. Epub 2022 Feb 6 doi: 10.1007/s00268-021-06433-5. PMID: 35128570
Clinical Features and Preventability of Delayed Diagnosis of Pediatric Appendicitis.
Michelson KA, Reeves SD, Grubenhoff JA, Cruz AT, Chaudhari PP, Dart AH, Finkelstein JA, Bachur RG
JAMA Netw Open 2021 Aug 2;4(8):e2122248. doi: 10.1001/jamanetworkopen.2021.22248. PMID: 34463745Free PMC Article
Risk factors of conversion in laparoscopic cholecystectomies for lithiasic acute cholecystitis. Results of a monocentric study and review of the literature.
Jarrar MS, Fourati A, Fadhl H, Youssef S, Mahjoub M, Khouadja H, Hafsa A, Mraidha MH, Ghali A, Hamila F, Letaief R
Tunis Med 2019 Feb;97(2):344-351. PMID: 31539093
Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management.
Firetto MC, Sala F, Petrini M, Lemos AA, Canini T, Magnone S, Fornoni G, Cortinovis I, Sironi S, Biondetti PR
Emerg Radiol 2018 Oct;25(5):461-467. Epub 2018 Apr 27 doi: 10.1007/s10140-018-1608-9. PMID: 29700647
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166

Diagnosis

Clinical Features and Preventability of Delayed Diagnosis of Pediatric Appendicitis.
Michelson KA, Reeves SD, Grubenhoff JA, Cruz AT, Chaudhari PP, Dart AH, Finkelstein JA, Bachur RG
JAMA Netw Open 2021 Aug 2;4(8):e2122248. doi: 10.1001/jamanetworkopen.2021.22248. PMID: 34463745Free PMC Article
An Elderly Woman with Abdominal Pain: Mirizzi Syndrome.
Mohseni M, Kruse B, Graham C
Am J Case Rep 2019 Mar 26;20:394-397. doi: 10.12659/AJCR.914642. PMID: 30910995Free PMC Article
Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management.
Firetto MC, Sala F, Petrini M, Lemos AA, Canini T, Magnone S, Fornoni G, Cortinovis I, Sironi S, Biondetti PR
Emerg Radiol 2018 Oct;25(5):461-467. Epub 2018 Apr 27 doi: 10.1007/s10140-018-1608-9. PMID: 29700647
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166
Abdominal guarding.
Geraghty JG
Ir Med J 1992 Jun;85(2):49. PMID: 1385801

Therapy

Complications resulting from an intragastric balloon in a patient without follow-up and monitoring.
Romero R, Biliauws L, Roussel J, Catheline JM
BMJ Case Rep 2024 Sep 24;17(9) doi: 10.1136/bcr-2023-258434. PMID: 39317487Free PMC Article
Risk factors of conversion in laparoscopic cholecystectomies for lithiasic acute cholecystitis. Results of a monocentric study and review of the literature.
Jarrar MS, Fourati A, Fadhl H, Youssef S, Mahjoub M, Khouadja H, Hafsa A, Mraidha MH, Ghali A, Hamila F, Letaief R
Tunis Med 2019 Feb;97(2):344-351. PMID: 31539093
Development and validation of a diagnostic prediction model distinguishing complicated from uncomplicated diverticulitis.
Bolkenstein HE, van de Wall BJ, Consten EC, van der Palen J, Broeders IA, Draaisma WA
Scand J Gastroenterol 2018 Oct-Nov;53(10-11):1291-1297. Epub 2018 Nov 5 doi: 10.1080/00365521.2018.1517188. PMID: 30394135
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166
Oxycodone vs placebo in children with undifferentiated abdominal pain: a randomized, double-blind clinical trial of the effect of analgesia on diagnostic accuracy.
Kokki H, Lintula H, Vanamo K, Heiskanen M, Eskelinen M
Arch Pediatr Adolesc Med 2005 Apr;159(4):320-5. doi: 10.1001/archpedi.159.4.320. PMID: 15809382

Prognosis

Gastric Pneumatosis with Portal Venous Gas can be Treated Non-operatively: A Retrospective Multi-institutional Study.
Epin A, Passot G, Christou N, Monneuse O, Mabrut JY, Ferrero PA, Caudron S, Pezet D, Magnin B, Grange R, Lambert C, Williet N, Flaris AN, Le Roy B
World J Surg 2022 Apr;46(4):784-790. Epub 2022 Feb 6 doi: 10.1007/s00268-021-06433-5. PMID: 35128570
Characteristics and risk factors for poor outcome in patients with systemic vasculitis involving the gastrointestinal tract.
Gendreau S, Porcher R, Thoreau B, Paule R, Maurier F, Goulenok T, Frumholtz L, Bernigaud C, Ingen-Housz-Oro S, Mekinian A, Audemard-Verger A, Gaillet A, Perard L, Samson M, Sonneville R, Arlet JB, Mirouse A, Kahn JE, Charpentier J, Hachulla É, Hummel A, Pires T, Carron PL, Durel CA, Jourde W, Puechal X, Lega JC, Sarrot-Reynauld F, Tieulie N, Diot E, Guillevin L, Terrier B; French Vasculitis Study Group
Semin Arthritis Rheum 2021 Apr;51(2):436-441. Epub 2021 Mar 3 doi: 10.1016/j.semarthrit.2021.03.002. PMID: 33711774
An Elderly Woman with Abdominal Pain: Mirizzi Syndrome.
Mohseni M, Kruse B, Graham C
Am J Case Rep 2019 Mar 26;20:394-397. doi: 10.12659/AJCR.914642. PMID: 30910995Free PMC Article
Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients' management.
Firetto MC, Sala F, Petrini M, Lemos AA, Canini T, Magnone S, Fornoni G, Cortinovis I, Sironi S, Biondetti PR
Emerg Radiol 2018 Oct;25(5):461-467. Epub 2018 Apr 27 doi: 10.1007/s10140-018-1608-9. PMID: 29700647
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166

Clinical prediction guides

A new clinical severity score for the management of acute small bowel obstruction in predicting bowel ischemia: a cohort study.
Wassmer CH, Revol R, Uhe I, Chevallay M, Toso C, Gervaz P, Morel P, Poletti PA, Platon A, Ris F, Schwenter F, Perneger T, Meier RPH
Int J Surg 2023 Jun 1;109(6):1620-1628. doi: 10.1097/JS9.0000000000000171. PMID: 37026805Free PMC Article
Clinical Features and Preventability of Delayed Diagnosis of Pediatric Appendicitis.
Michelson KA, Reeves SD, Grubenhoff JA, Cruz AT, Chaudhari PP, Dart AH, Finkelstein JA, Bachur RG
JAMA Netw Open 2021 Aug 2;4(8):e2122248. doi: 10.1001/jamanetworkopen.2021.22248. PMID: 34463745Free PMC Article
Risk factors of conversion in laparoscopic cholecystectomies for lithiasic acute cholecystitis. Results of a monocentric study and review of the literature.
Jarrar MS, Fourati A, Fadhl H, Youssef S, Mahjoub M, Khouadja H, Hafsa A, Mraidha MH, Ghali A, Hamila F, Letaief R
Tunis Med 2019 Feb;97(2):344-351. PMID: 31539093
Development and validation of a diagnostic prediction model distinguishing complicated from uncomplicated diverticulitis.
Bolkenstein HE, van de Wall BJ, Consten EC, van der Palen J, Broeders IA, Draaisma WA
Scand J Gastroenterol 2018 Oct-Nov;53(10-11):1291-1297. Epub 2018 Nov 5 doi: 10.1080/00365521.2018.1517188. PMID: 30394135
Clinical Presentation, Imaging, and Management of Acute Cholecystitis.
Katabathina VS, Zafar AM, Suri R
Tech Vasc Interv Radiol 2015 Dec;18(4):256-65. Epub 2015 Jul 16 doi: 10.1053/j.tvir.2015.07.009. PMID: 26615166

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...