Nontraumatic abdominal surgical emergencies in the pregnant patient

Although most EPs are aware of the diverse presentations of ectopic pregnancy, this diagnosis remains a formidable challenge in the ED. The diagnosis of abdominal surgical emergencies in pregnant patients continues to challenge EPs, surgeons, and obstetricians alike. Understanding how the gravid state can obscure common conditions such as appendicitis, cholecystitis. bowel obstruction, and adnexal torsion might help the EP identify suspicious cases early, preventing serious consequences to the mother and fetus.