Gyneacological causes of acute abdomen in pregnancy
Keywords:
gynaecological causes, acute abdomen, pregnancy, ectopic, placental abruptionAbstract
Causes of acute abdomen can either be due to pregnancy itself or can be unrelated to pregnancy. The incidence of the acute abdomen during pregnancy is 1/500–635. Many different surgical, gynaecological and internal diseases may result in acute abdomen. While performing clinical examination and trying to interpret laboratory parameters, we have to consider anatomical and physiological changes that occur during pregnancy. It is a challenge for any doctor to diagnose and treat pregnant women. Ultrasound is the investigation of first choice for most gynaecological and non-gynaecological causes of acute abdomen in pregnancy. When treating a critically ill pregnant woman, potentially harmful effects of ionising radiation on the fetus must be ignored. Surgical treatment consists of two main approaches, laparoscopy and laparotomy.
Downloads
References
Augustin G, Majerovic M. Non-obstetrical acute abdomen during pregnancy. Eur J Obstet Gynecol Reprod Biol 2007; 131: 4–12.
Diegelmann L. Nonobstetric abdominal pain and surgical emergencies in pregnancy. Emerg Med Clin North Am 2012; 30: 885–901.76 Zdrav Vestn | januar 2014 | Letnik 83 Pregledni članek/review
Tarraza HM, Moore RD. Gynecologic causes of the acute abdomen and the acute abdomen in pregnancy. Surg Clin North Am 1997; 77: 1371–94.
Borko E, Flis V, Breznik R. Akutni abdomen v nosečnosti. In: Žakelj V, Gadžijev E, Flis V, Pleskovič A, Miksić K, Crnjac A, et al. Akutni abdomen. Maribor: Medicinski mesečnik; 2009. p 359–76.
Borko E, Breznik R, Grandovec F. Akutni abdomen v nosečnosti. Med Razgl 1992; 31: 557–66.
El-Amin Ali M, Yahia Al-Shehri M, Zaki ZM, Abu-Eshy S, Albar H, Sadik A. Acute abdomen in pregnancy. Int J Gynaecol Obstet 1998; 62: 31–6.
Kilpatrick CC, Monga M. Approach to the acute abdomen in pregnancy. Obstet Gynecol Clin North Am 2007; 34: 389–402.
Taylor D. Acute abdomen in pregnancy. Emedicine Jan 2012. Dosegljivo na: http://emedicine.medscape.com
Unal A, Sayharmana SE, Ozel L, Unal E, Akaa N, Titiz I, et al. Acute abdomen in pregnancy requiring surgical management: a 20-case series. Eur J Obstet Gynecol Reprod Biol 2011; 159: 87–90.
Shen T. Approach to the acute abdomen during pregnancy. Australian medical student journal 2011; 2: 19–22.
Birchard KR, Brown MA, Hyslop WB, Zeynep F, Semelka RC. MRI of acute abdominal and pelvic pain in pregnant patients. AJR 2005; 1: 452–8.
McGahan JP, Lamba R, Coakley FV. Imaging non--obstetrical causes of abdominal pain in the pregnant patient. Applied radiology 2010; 39: 10–25.
Takač I. Ginekološki vzroki akutne abdominalne bolečine. In: Žakelj V, Gadžijev E, Flis V, Pleskovič A, Miksić K, Crnjac A, et al. Akutni abdomen. Maribor: Medicinski mesečnik; 2009. p 377–91.
Sepilian VP. Ectopic pregnancy. Emedicine Avg 2012. Dosegljivo na: http://emedicine.medscape.com/article/2041923-overview
Stucki D, Buss J. The ectopic pregnancy, a diagnostic and therapeutic challenge. J Med Life 2008; 1: 40–8.
Scutiero G, Di Gioia P, Spada A, Greco P. Primary ovarian pregnancy and it‘s management. JSLS 2012; 16: 492–4.
Challoner K, Incerpi M. Nontraumatic abdominal surgical emergencies in the pregnant patient. Emerg Med Clin North Am 2003; 21: 971–85.
Barnhart KT. Ectopic pregnancy. N Engl J Med 2009; 361: 379–87.
Singh N, Singh U, Verma ML. Ruptured bicornuate uterus mimicking ectopic pregnancy: a case report. J Obstet Gynaecol Res 2013; 39: 364–6.
Molinaro TA, Barnhart KT. Ectopic pregnancies in unusual locations. Semin Reprod Med 2007; 25: 123–30.
Tsikouras P, Dimitraki M, Ammari A, Bouchlariotou S, Zervoudis S, Oikonomidis P, et al. Differential diagnosis of ectopic pregnancy–morbidity and mortality, ectopic pregnancy–modern diagnosis and management. InTech Okt 2011. Dosegljivo na: http://cdn.intechopen.com/pdfs/22229/InTech--Differential_diagnosis_of_ectopic_pregnancy_morbidity_and_mortality.pdf
Kirk E, Condous G, Bourne T. The non-surgical management of ectopic pregnancy. Ultrasound Obstet Gynecol 2006; 27: 91–100.
Peternelj-Marinšek S, Ribič-Pucelj M, Omahen A. Kirurško zdravljenje adneksnih tumorjev v noseč-nosti – pomen laparoskopskega operiranja. Zdrav Vestn 2002; 71: 219–25.
Borko E, Takač I, But I, Gorišek B, Kralj B (ur). Ginekologija. 2. dopolnjena izdaja. Maribor: Univerza v Mariboru, Visoka zdravstvena šola, 2006.
Hall DR. Abruptio placentae and disseminated intravascular coagulopathy. Semin Perinatol 2009; 33: 189–95.
Deering SH. Abruptio placentae. Emedicine Maj 2012. Dosegljivo na: http://emedicine.medscape.com/article/252810-overview
Pajntar M, Novak-Antolič Ž. Nosečnost in vodenje poroda. Ljubljana: Cankarjeva založba, 2004.
Arora D, Bhattacharyya TK, Kathpalia SK, Kochar SPS, Lele PR. Acute abdomen in gynaecological practice. MJAFI 2005; 61: 66–70.
Delivery after previous caesarean section. Clinical practice guideline. Institute of Obstetricians and Gynaecologists, Royal College of Physicians of Ireland and Clinical Strategy and Programmes Directorate, Health Service Executive. Version 1.0. Guideline No. 5. Date of publication – October 2011.
Navada HM, Bhat BP. Pelvic inflammatory disease in the form of peritoneal abscess complicating the pregnancy. Case Rep Obstet Gynecol 2011; 2011: 851598.
Barton JR, Sibai BM. Severe sepsis and septic shock in pregnancy. Obstet gynecol 2012; 120: 689–706.
Inštitut za varovanje zdravja Repulbike Slovenije. Perinatalni informacijski sistem Republike Slovenije. Primerjava podatkov med regijami za leto 2009 in 2010. Ljubljana, 2012. Dosegljivo na: http://www.ivz.si/podatkovne_zbirke?pi=5&_5_Filename=attName.png&_5_MediaId=5822&_5_AutoResize=false&pl=46–5.3.
Euro-Peristat Project with SCPE and Eurocat. European Perinatal Health Report. The health and care of pregnant women and babies in Europe in 2010. 2013. Dosegljivo na: www.europeristat.com
Downloads
Issue
Section
License
The Author transfers to the Publisher (Slovenian Medical Association) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Slovenian Medical Association) has the right to transfer the rights of acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
