Abstract
Acute abdominal pain is common and accounts for 5–10% of all emergency department
admissions. The extensive nature of the differentials can make the definitive diagnosis
challenging, particularly in women of childbearing age. There is often a conundrum
as to whether the emergency is of gynaecological or surgical origin: delay in diagnosis
can result in significant morbidity and mortality. This article explores the history,
examination and investigation of women presenting with acute abdominal pain. It considers
common gynaecological causes, including those found in pregnancy.
Keywords
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Further reading
- Abdominal pain as a cause of acute admission to hospital.J R Coll Surg Edinb. 1992; 37: 389-393
- NICE clinical guideline. Ectopic pregnancy and miscarriage: diagnosis and initial management. December 2012
- An update on the diagnosis and management of ovarian torsion.The Obstetrician and Gynaecologist. 2012; 14: 229e36
- Gynaecological examinations: guidelines for specialist practice. Royal College of Obstetricians and Gynaecologists,
2002https://elearning.rcog.org.uk/sites/default/files/Communication%20skills/rcog_gynaeexams4.pdfDate accessed: September 22, 2020
Knight M, Clarke B, Head C, et al. Saving lives, improving mothers' care: Lessons learned to inform maternity care from the UK and Ireland confidential enquiries into maternal deaths and morbidity 2015-17. https://www.npeu.ox.ac.uk/downloads/files/mbrrace-uk/reports/MBRRACE-UK%20Maternal%20Report%202019%20-%20WEB%20VERSION.pdf.
- Adnexal torsion: a literature review.Eur J Obstet Gynecol Reprod Biol. 2010; 150: 8-12
- Pelvic Inflammatory Disease Guideline. BASHH, 2019
- Management of suspected ovarian masses in premenopausal women. Green-top guideline No. 62.RCOG/BSGE Joint Guideline, LondonNovember 2011
- Chronic pelvic pain, initial management. Green-top guideline No. 41.RCOG, LondonNovember 2012
- A review of evidence-based management of uterine fibroids.TOG. 2016; 18: 33-42
Article info
Publication history
Published online: January 09, 2021
Identification
Copyright
Crown Copyright © 2020 Published by Elsevier Ltd. All rights reserved.
