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Acute Abdomen in Gynaecological Practice.

Devendra Arora1, T K Bhattacharyya2, S K Kathpalia3

  • 1Reader, Department of Obstetrics and Gynaecology, Armed Forces Medical College, Pune - 411040.

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Diagnosing and managing acute abdomen in pregnancy is challenging due to physiological changes. Prompt diagnosis and treatment are crucial for maternal and fetal well-being, prioritizing the mother's health.

Keywords:
Acute AbdomenAdnexaPregnancy

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology

Background:

  • Pregnancy involves physiological changes increasing acute abdomen risk.
  • Differentiating pregnancy-related vs. unrelated acute abdominal conditions is complex.
  • Anatomical and physiological shifts during pregnancy complicate clinical evaluation.

Purpose of the Study:

  • To review conditions causing acute abdomen in pregnant and non-pregnant women.
  • To highlight diagnostic and management challenges in pregnant patients.
  • To emphasize timely intervention for improved maternal and fetal outcomes.

Main Methods:

  • Literature review of acute abdomen in pregnancy.
  • Discussion of diagnostic dilemmas and imaging considerations.
  • Analysis of surgical management principles.

Main Results:

  • Pregnancy-induced changes complicate physical examination and diagnosis.
  • Reluctance to use X-rays or operate can delay critical care.
  • Adnexal accidents are important differential diagnoses.

Conclusions:

  • Acute abdomen in pregnancy requires careful clinical evaluation.
  • Prioritize maternal risk, even if it means using X-rays or surgery.
  • Prompt diagnosis and appropriate therapy are vital for mother and fetus.