Advertisement

Acute abdomen and abdominal pain in pregnancy

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Abdominal pain in pregnancy continues to pose a diagnostic and management challenge to the attending obstetrician. Many causes are specific to pregnancy but conditions affecting the non-pregnant woman can also complicate pregnancy. Identifying the cause is influenced by the anatomical and physiological changes of pregnancy. There will be a reluctance to employ abdominal X-rays and laparotomy but these reservations have to be re-evaluated when symptoms fail to settle.

      Keywords

      References

      FURTHER READING

        • Andreoli M
        • Serakov M
        • Meyers P
        Laparoscopic surgery during pregnancy.
        J Am Assoc Gynecol Laparosc. 1999; 6: 229-233
        • Beck Jr, WW
        Intestinal obstruction in pregnancy.
        Obstet Gynecol. 1974; 43: 374-378
        • Bromley B
        • Benacerraf B
        Adnexal masses in pregnancy Accuracy of sonographic diagnosis and outcome.
        J Ultrasound Med. 1997; 16: 447-452
        • Exacoustos C
        • Rosati P
        Ultrasound diagnosis of uterine myomas and complications in pregnancy.
        Obstet Gynecol. 1993; 82: 97-101
        • Gilstrap LC
        • Leveno KG
        • Cunningham FG
        • Whalley PJ
        • Roark ML
        Renal infections and pregnancy outcome.
        Am J Obstet Gynecol. 1981; 141: 709-716
        • Horrowitz MD
        • Gomez GA
        • Santiesteban R
        Acute appendicitis during pregnancy: diagnosis and management.
        Arch Surg. 1985; 120: 1362-1367
        • Hunt MG
        • Martin J
        • Meels GR
        Perinatal aspects of abdominal surgery for non-obstetric disease.
        Am J Perinatol. 1989; 6: 412-417
        • Kennedy A
        Assessment of acute abdominal pain in the pregnant patient.
        Semin Ultrasound CT MR. 2000; 21: 64-67
        • Muench J
        • Albrink M
        • Serafini F
        Delay in treatment of biliary disease during pregnancy increases morbidity and can be avoided with safe laparoscopic cholecystectomy.
        Am Surg. 2001; 67: 539-542
        • O'Grady JP
        • Day EJ
        • Toole AL
        Splenic artery aneurysm rupture in pregnancy, a review and case report.
        Obstet Gynecol. 1997; 50: 627-630
        • Rice JP
        • Ray HH
        • Mahoney BF
        The clinical significance of uterine leiomyomas in pregnancy.
        Am J Obstet Gynecol. 1989; 160: 1212-1216
        • Sheth SS
        Results of treatment of rupture of the uterus by suturing.
        J Obstet Gynaecol Br Commonw. 1988; 75: 55-58
        • Sivanesaretnam V
        • Ong TT
        Acute pancreatitis in pregnancy.
        Aust N Z J Obstet Gynaecol. 1976; 16: 9-12
        • Watson WJ
        • Seeds JW
        Acute fatty liver of pregnancy.
        Obstet Gynecol Surv. 1990; 45: 585-591