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04:08
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Published on: June 27, 2025
Surgical diseases presenting in pregnancy
Charles S Dietrich1, Christina C Hill, Matthew Hueman
1Gynecologic Oncology Service, Department of Obstetrics and Gynecology, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI 96859-5000, USA. chuck.dietrich@us.army.mil
The Surgical Clinics of North America
|April 3, 2008
Summary
Pregnancy can complicate surgical conditions, affecting diagnosis and treatment. This review covers common surgical diseases during pregnancy, such as appendicitis and bowel obstruction.
Area of Science:
- Obstetrics and Gynecology
- General Surgery
Background:
- Nonobstetric surgical conditions affect approximately 1 in 500 pregnancies.
- Pregnancy can alter or mask typical symptoms of surgical diseases, potentially delaying diagnosis.
Purpose of the Study:
- To review common surgical diseases encountered during pregnancy.
- To highlight diagnostic and management considerations specific to gravid patients.
Main Methods:
- Literature review of common surgical conditions in pregnancy.
- Synthesis of diagnostic challenges and treatment principles.
Main Results:
- Common conditions include appendicitis, biliary diseases, bowel obstruction, hemorrhoids, inflammatory bowel disease, and malignancies.
- Pregnancy necessitates careful evaluation to differentiate from common pregnancy-related discomforts.
Conclusions:
- Prompt diagnosis and appropriate management are crucial for both mother and fetus.
- Surgical diseases in pregnancy require a tailored approach, considering physiological changes.
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