Abstract
Acute abdomen in pregnancy is a clinical entity that occurs in approximately 2 in every 1000 pregnant women, its definition says that it is “sudden and acute abdominal pain with a rapid evolution that requires urgent treatment and can lead to death. in case of not receiving timely treatment”. Her progress is rapid, and her symptoms overlap with symptoms typical of pregnancy.
For the methodology, it was decided to carry out a bibliographic review of different recent articles to obtain the most up-to-date information at the time of preparing this document.
With the help of the data collection carried out in conjunction with the analysis thereof, by briefly summarizing the clinical differences and the diagnostic methodology of choice for the most frequent causes, within the recommendations an adequate directed complete clinical history is made, together with a thorough physical examination due to the difficulty in abdominal examination of a pregnant patient, one can choose from the differential diagnoses of the most common etiologies mentioned in the article in a summarized way to perform laboratory tests oriented and define the cases where surgical intervention is necessary due to increased risk for one or both parts of the binomial.
Keywords
References
Rosendorf J, Liška V, Pálek R, Třeška V. Acute abdomen in pregnancy: a retrospective study of pregnant patients hospitalised for abdominal pain. proLékařecz [Internet]. 2020 [cited 26 February 2021];99(3):131-135. Available from: https://www.prolekare.cz/en/journals/perspectives-in-surgery/2020-3-2/acute-abdomen-in-pregnancy-a-retrospective-study-of-pregnant-patients-hospitalised-for-abdominal-pain-122065
Laffita W, Rodríguez I, Jiménez W, Jeremías E. Abdomen agudo quirúrgico en el embarazo. Revista Información Científico [Internet]. 2018 [cited 16 January 2021];Volumen 97(No. 6):1076-1087. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-99332018000601076
2017. Tratado de Cirugía General. 3rd ed. Ciudad de México: El Manual Moderno, p.274.
Barber S, Bueno J, Granero P, Gómez I, Ballester N, García R. Actualización en el manejo del abdomen agudo no obstétrico en la paciente gestante. elsevier [Internet]. 2016 [cited 26 February 2021];94(No.5):257-265. Available from: https://www.elsevier.es/en-revista-cirugia-espanola-36-articulo-actualizacion-el-manejo-del-abdomen-S0009739X15003097
Chilaka C, F Walker K. Abdominal pain in late pregnancy. Obstetrics, Gynaecology and Reproductive Medicine [Internet]. 2019 [cited 14 January 2021];29(12):331-341. Available from: https://www.obstetrics-gynaecology-journal.com/article/S1751-7214(19)30172-1/pdf
Vujic J, Marsoner K, Lipp-Pump A, Klaritsch P, Mischinger H, Kornprat P. Non-obstetric surgery during pregnancy – an eleven-year retrospective analysis. BMC Pregnancy and Childbirth [Internet]. 2019 [cited 16 January 2021];19(382):1-5. Available from: https://bmcpregnancychildbirth.biomedcentral.com/track/pdf/10.1186/s12884-019-2554-6.pdf
C. Moreno C, K. Mittal P, H. Miller F. Nonfetal Imaging During Pregnancy Acute Abdomen/Pelvis. Radiologic Clinics is published by Elsevier [Internet]. 2020 [cited 15 January 2021];58(2):363-380. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0033-8389(19)30134-4
BRĂILA A, ZAVATE A, STEPAN A, SABETAY C, KAMEL J, GEORGESCU-BRĂILA M et al. The acute abdomen in pregnancy and postpartum of a teenager woman. Case report. RJME Romanian Journal of Morphology & Embryology [Internet]. 2018 [cited 15 January 2021];59(3):939 - 943. Available from: https://rjme.ro/RJME/resources/files/590318939943.pdf
Rege S, Roshan C, Siddhant V, Shrinivas S, Ajinkya R. Laparoscopic surgery for non-obstetric acute abdomen in pregnancy: A retrospective case series review. Journal of Minimal Access Surgery [Internet]. 2019 [cited 16 January 2021];16(1):54-58. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6945339/
Koshy S, Fenn M, Jacob K, Alias S, Anna S. Management of acute abdomen in pregnancy: current perspectives. Int J Womens Health [Internet]. 2019 [cited 26 February 2021];11:119-134. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371947/
Parikh B, Hussain F, Brustman L. Acute Abdomen in Pregnancy. Topics in Obstetrics & Gynecology [Internet]. 2019 [cited 9 February 2021];39(7):1-7. Available from: https://insights.ovid.com/topics-obstetrics-gynecology/togy/2019/05/150/acute-abdomen-pregnancy/1/01938899
Kapadia S, Crabtree M, French S, DeUgarte D. In utero ileal volvulus and intestinal perforation associated with enteric duplication cyst presenting with preterm labour and acute abdomen in newborn. BMJ Journals [Internet]. 2019 [cited 15 January 2021];12(11):1-3. Available from: https://casereports.bmj.com/content/12/11/e232052.long
Hecht S, Meissnitzer M, Forstner R. Akutes Abdomen der Frau: gynäkologische Ursachen. SpringerLink [Internet]. 2018 [cited 26 February 2021];59(2):126–132. Available from: https://link.springer.com/article/10.1007/s00117-018-0475-4
Habek D, Bauman R, Kralj R, Hafner T, Turudic T, Vujisic S. Acute Abdomen in the 17th Week of Twin Pregnancy due to Ovarian Torsion - A Late Complication of IVF. Geburtshilfe Frauenheilkd [Internet]. 2016 [cited 26 February 2021];76(12):1345-1349. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5177560/
Hernández J, Tovar A, Noriega V, Izaguirre J, Moreno E, Valderrama O. El cirujano general frente al embarazo heterotópico roto. Presentación de un caso y revisión de la literatura. SciELO [Internet]. 2018 [cited 15 January 2021];40(1):24-30. Available from: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1405-00992018000100024
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2021 Array