Acute abdomen in pregnancy: a retrospective study of pregnant patients hospitalised for abdominal pain
Abstract
INTRODUCTION: Abdominal emergencies occur in pregnant women with the rate of 1:500635 pregnancies. Such conditions usually develop from full health and worsen rapidly.
Symptoms are often similar to those in physiological pregnancy (abdominal pain, vomiting, constipation). The diagnostic process is thus difficult and both the mother and her child are at risk.
Our aim was to evaluate the frequency of abdominal emergencies in the Department of Surgery, University Hospital in Pilsen and to consider their impact on pregnancy and on the newborn. METHODS: We acquired a set of patients by retrograde collection of data.
We searched for pregnant patients suspected of developing an abdominal emergency admitted to the Department of Surgery, Faculty of Medicine, Pilsen between 2004 and 2015. We evaluated a number of clinical signs to statistically describe the set.
RESULTS: The set included 121 patients; 42 of the patients underwent a surgical procedure and 79 received conservative treatment. 38 patients underwent appendectomy; 6 appendixes were with no pathologies. McBurneys incision was an approach of choice in most cases.
The most frequent symptom was pain in the right lower abdominal quadrant. The foetus has been lost in none of the cases.
CONCLUSION: Acute appendicitis was the most frequent abdominal emergency in our set and also the most frequent reason for surgical intervention. The most specific sign was pain in the right lower abdominal quadrant.
No impact of appendicitis or appendectomy on the health of the newborn has been observed. Even though abdominal emergencies in pregnancy are relatively rare, the results of the department are very good.