Non-obstetrical acute abdomen during pregnancy

Augustin, Goran; Majerović, Mate

doi:10.1016/j.ejogrb.2006.07.052

Cited by 194 publications

(150 citation statements)

References 43 publications

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“…The uterus, adnexa, distal segment of the small bowel, sigmoid, and the rectum have a common visceral nerve supply, so identifying the source of pain is difficult [9].…”

Section: Discussionmentioning

confidence: 99%

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Mechanical small bowel obstruction as a complication of pregnancy

Adamczyk-Gruszka¹,

Lewandowska-Andruszuk²,

Głuszek³

et al. 2015

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Abdominal pain is a common complaint in pregnancy. Intestinal obstruction reported in pregnancy varies, ranging from 1 in 1500 to 1 in 66431 pregnancies. Unfortunately, "dormant alertness" can lead to delayed surgical intervention, which in turn can increase the risk of complications that pose a threat to the mother as well as her foetus. The paper presents a case of a 23-year-old pregnant woman diagnosed with mechanical small bowel obstruction in 27 hbd, which required surgical emergency operation. The necrotic loop of the small intestine was resected. Despite tocolysis, which was necessary on the second day following the surgery, the patient was discharged home in good condition, with her pregnancy intact.

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“…The uterus, adnexa, distal segment of the small bowel, sigmoid, and the rectum have a common visceral nerve supply, so identifying the source of pain is difficult [9].…”

Section: Discussionmentioning

confidence: 99%

“…Unfortunately, doctors are generally reluctant to undertake unnecessary surgical intervention, which is also important in that respect [9].…”

Section: Introductionmentioning

confidence: 99%

Mechanical small bowel obstruction as a complication of pregnancy

Adamczyk-Gruszka¹,

Lewandowska-Andruszuk²,

Głuszek³

et al. 2015

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show abstract

“…Los cálculos a nivel de la vesícula biliar se subdividen según su composición química, a saber: 75% colesterol, 25% pigmentos biliares 23,24,25 . El mecanismo básico en la producción de los cálculos es la sobresaturación de los componentes de la bilis que exceden su máxima solubilidad, además se asocia estasis biliar, cristales de calcio en la bilis y, ante la presencia de hipercolesterolemia, se inicia la formación de cálculos [26][27] . La mujer embarazada está sujeta a todas las enfermedades quirúrgicas de las mujeres no embarazadas y la patología de las vías biliares no es la excepción.…”

Section: Apendicitis Aguda En El Embarazounclassified

Surgical pathologies in pregnancy

Olmedo

Segovia

2016

Rev. Nac. (Itauguá)

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Introducción: una de cada 50 mujeres presentará durante su embarazo dolor abdominal potencialmente quirúrgico y una de cada 600 mujeres embarazadas requerirá de cirugía abdominal no obstétrica durante el embarazo. Objetivos: determinar la frecuencia y características demográficas y clínicas de patologías quirúrgicas durante el embarazo en pacientes internadas en el Hospital Nacional del año 2010 al 2014. Metodología: diseño observacional, descriptivo, retrospectivo de corte trasversal. Población estudiada: gestantes y/o puérperas atendidas en el Hospital Nacional con diagnóstico de patologías quirúrgicas durante los años 2010-2014. Muestreo no probabilístico según criterio. Resultados: se hallaron76 mujeres (0,5%) con patologías quirúrgicas, la edad media fue 27 ± 6,2 años. La litiasis vesicular y la apendicitis aguda fueron las más frecuentes. La media de edad gestacional fue 28 ± 9,4 semanas. Las complicaciones fueron abdomen agudo y pancreatitis aguda, requiriendo cirugía 39(51,3%) pacientes. Conclusiones: la frecuencia de patologías quirúrgicas fue menor al 1%, las patologías biliares y apendiculares fueron las más frecuentes.Palabras claves: apendicitis aguda, colecistitis aguda, pancreatitis aguda, embarazo. ABSTRACT Introduction:One in 50 women during pregnancy will potentially present surgical abdominal pain and one of every 600 pregnant women will require nonobstetric abdominal surgery during pregnancy. To determine the frequency and types of surgical pathologies during pregnancy in patients hospitalized in the National Hospital from 2010 to 2014. Methodology: observational, descriptive, retrospective study cross-sectional. Population studied pregnant and / or postpartum women treated at the National Hospital with a diagnosis of surgical pathologies during the years 2010-2014, no probabilistic sampling according to criteria. Results: 76 (0.5%) with surgical pathologies, median age were found: 27 ± 6.2 years, Cholelithiasis and acute appendicitis were the most frequent. Median gestational age was 28 ± 9.4 weeks. The complication were acute abdominal patology and acute pancreatitis, requiring surgery 39 (51.3%) patients. Conclusions: The frequency of surgical pathologies were less than 1%, biliary and appendicular pathology were the most frequent.

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“…Appendicectomies are about 25% of these procedures (1:2,000 pregnancies) [6]. The position of the appendix during pregnancy alters, resulting in displacement of the McBurney's point which can difficult diagnosis, and classic signs of peritonitis may therefore be reduced or absent [7,8].…”

Section: Introductionmentioning

confidence: 99%

Anesthesia for Non-Obstetrical Surgery during Pregnancy

Mandim¹

2014

General Med

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The number of surgical procedures in gravid women unrelated to pregnancy itself has been increased over years. In such cases, one must keep in mind the responsibility for two patients, the optimization and maintenance of maternal homeostasis, avoiding alterations on uteroplacental perfusion that can bring harm to the fetus. This review focus on safety to performing these procedures during pregnancy, considering the advances in the prevention and treatment of obstetric and fetal morbidity related to anesthesia. Background and Objectives:Despite research advances, there is still much controversy in the anesthetic management of obstetric patients. Several studies have demonstrated the safety of anesthesia in this group of patients. In this review an analysis of anesthetics used in clinical practice is proposed as well as the technique to be chosen and its effects on the mother and fetus in non-obstetric surgery during pregnancy.

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Non-obstetrical acute abdomen during pregnancy

Cited by 194 publications

References 43 publications

Mechanical small bowel obstruction as a complication of pregnancy

Mechanical small bowel obstruction as a complication of pregnancy

Surgical pathologies in pregnancy

Anesthesia for Non-Obstetrical Surgery during Pregnancy

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