Abstract
Background: Sometimes, in our surgical practice, we see patients with undiagnosed lower abdominal pain who remain undiagnosed even after thorough examination. The diagnosis capability of the surgeon is a significant challenge for these groups of patients. Moreover, after a battery of investigation, nearly 13% of patients remain undiagnosed.

Aims and Objectives: In undiagnosed patients with persistent abdominal distress, the value of laparoscopy as a diagnostic technique is measured. This study aims to discover common reasons for chronic abdominal pain by laparoscopy analysis.

Materials and Methods: A total of 100 patients are included in this retrospective review. This research involves patients that have not been diagnosed by clinical diagnosis and diagnostic tests such as MRI and computed tomography. Detailed examination of all quadrants of the abdomen was done. Documentation is made of pathologies found in the process. Where necessary, the surgical treatment shall take place in conjunction with the diagnosis found.

Results: In this study, following were the diagnosis made in the patients, subacute appendicitis (42%), adhesions seen in 21%, peritoneal tubercles (8%), normal study (6%), adnexitis (3%), hydrosalpinx (5%), mesenteric adenopathy (3%), mesenteric panniculitis (3%), ileocecal tuberculosis (2%), ovarian cyst (2%), and endometriosis (3%). Laparoscopic appendectomy and laparoscopic adhesion were simultaneously observed in patients with subacute appendicitis and adhesions.

Conclusion: Laparoscopy diagnostic is an important diagnostic instrument to treat chronic abdominal pain patients who remain undiagnosed after clinical review to modalities of imaging.

Key words: Diagnostic Laparoscopy; Laparoscopic Appendectomy; Chronic Lower Abdominal Pain; Appendicitis; Adhesions