Acute Abdomen in Gynaecological Practice.

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.