By Goran Augustin
This e-book might help the reader to acknowledge, diagnose, and deal with many of the acute belly problems which may be encountered within the pregnant sufferer, even if linked to or incidental to the being pregnant. a variety of stipulations are addressed, together with a few that are very infrequent in addition to these extra usually obvious, corresponding to acute appendicitis and acute cholecystitis. the foundations underlying analysis and remedy are sincerely defined. specific good points within the scientific presentation of pregnant sufferers are highlighted, and particular diagnostic and healing algorithms and protocols, defined. cognizance is attracted to the diagnostic problems which may come up from unusual displays and to regulations at the use of sure diagnostic imaging reviews. The booklet is designed to fulfill the wishes of either the gynecologist and the final or belly physician, who jointly shape the multidisciplinary crew necessary for powerful remedy that may defend mom and baby.
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Extra info for Acute Abdomen During Pregnancy
The varicocele starts at the veins draining the round ligament and the inguinal canal and is associated with engorgement of the veins of the ovaries and the pelvis during pregnancy; (4) endometriosis [54, 55] that infiltrates or borders the uterine round ligament can cause RLP in fertile, non-gestating women; and (5) other pathologies that involve the uterine round ligament can cause RLP. However, diagnosis of RLP is problematic. Some of the conditions that may present symptoms similar to those of RLP are appendicitis, ectopic pregnancy, kidney stones, urinary tract infection, uterine contractions, inguinal hernia, ovarian cysts, and endometriosis.
Found that external monitors of uterine contractions were variably effective in the insufflated abdomen . For patients with potentially viable fetuses managed surgically, steroids were generally administered 24 h preoperatively to speed fetal lung maturation. 3 Intraoperative CO2 Monitoring Intraoperative CO2 monitoring by capnography should be used during laparoscopy in the pregnant patient (Level III). Fetal acidosis with insufflation has not been documented in the human fetus, but concerns over potential detrimental effects of acidosis have led to the recommendation of maternal CO2 monitoring [157, 158].
Oto et al. reported a cohort of 118 pregnant patients who presented with abdominal pain who underwent MRI between 2001 and 2007. 3 %) . 5 % for diagnosing appendicitis during pregnancy [85–89]. The MRI criteria for appendicitis include (Fig. 5): • Enlarged appendix with a diameter of greater than 6 mm • Signs of periappendiceal inflammatory changes, such as the presence of periappendiceal high signal intensity 14 1 Acute Appendicitis • MRI is used when the appendix is not visualized by abdominal ultrasound.
Acute Abdomen During Pregnancy by Goran Augustin