الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Adults with chronic abdominal pain remain a poorly defined population, despite the debilitation and depression associated with this therapeutically challenging condition. As a result of being an overlooked and poorly defined population, adults with chronic abdominal pain might not receive adequate pain management treatment. Learning more about the physical and emotional functioning of patients with long-standing abdominal pain can increase recognition of the needs of and improve treatment for this population. Laboratory and radiological investigations may confirm or exclude diagnostic possibilities that are being considered based on a proper history and physical examination. These tests should in no way replace any part of the history or physical examination. Confirmatory laboratory tests or radiological studies are not mandatory to secure a diagnosis. They should only be ordered when they directly influence patient care. Abdominal pain is considered chronic if it is continuous or if it is Intermittent for at least a period of 3 month. In this study we try to shed the light on laparoscopy as a diagnostic and a therapeutic tool used in patients with undiagnosed chronic abdominal pain. The subjects in this study are mostly referred to us from medical or gynecological departments, after performing full laboratory tests and radiological examination without reaching a diagnosis. We start our approach to the patients by performing full history taking and physical examination, the revise the results of lab and radiological examinations, and complete them if any is missing, to make sure that subjects are good candidates to the procedure. On performing laparoscopy it was found that most of the cases had peritoneal adhesions, either due to previous abdominal surgeries or idiopathic adhesions, adhesoiolysis was performed. Other findings were also discovered like endometriosis, chronic appendicitis and T.B peritonitis. The outcome of our study was very satisfactory, as most patients had complete resolution of their pain while some had improvement in their pain, there were no mortalities and morbidity was minimal. So the outcome of this study is that laparoscopy is an easy, not Time consuming and minimally invasive procedure with very good results either as a diagnostic or therapeutic tool and should be considered more by physicians in cases of undiagnosed chronic abdominal pain.