# Critical Appraisal of Plain Abdominal X-rays in Acute Abdomen: A Review

## TL;DR

This paper reviews the role of abdominal X-rays in diagnosing acute abdominal pain and argues for their limited use due to modern imaging alternatives and radiation risks.

## Contribution

The paper provides a critical review of the diminishing role of plain abdominal X-rays in acute abdomen management.

## Key findings

- Abdominal X-rays are less useful with modern imaging techniques.
- AXRs are often unwarranted and expose patients to unnecessary radiation.
- AXRs should be used judiciously, not as routine diagnostic tools.

## Abstract

Abdominal X-rays (AXR) are associated with the surgical specialty, especially for patients presenting to the emergency department. They have been a useful tool for clinicians for the initial assessment of abdominal pain. With the advent of modern radiological modalities, their usefulness has diminished, particularly in developed countries. AXRs are often considered unwarranted in many conditions and are associated with radiation exposure; hence, their use has become limited worldwide, and many studies suggest the careful use of AXRs. AXR should be used more judiciously and not as a routine investigative tool. The benefits and hazards should be considered before performing an X-ray to understand abdominal pain.