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Review
. 2016 May;94(5):257-65.
doi: 10.1016/j.ciresp.2015.11.001. Epub 2016 Feb 11.

Update on the management of non-obstetric acute abdomen in pregnant patients

[Article in English, Spanish]
Sebastián Barber-Millet  1 , José Bueno Lledó  2 , Pablo Granero Castro  2 , Immaculada Gómez Gavara  2 , Neus Ballester Pla  2 , Rafael García Domínguez  2
Affiliations
Review

Update on the management of non-obstetric acute abdomen in pregnant patients

[Article in English, Spanish]
Sebastián Barber-Millet et al. Cir Esp. 2016 May.

Abstract

Acute abdomen is a rare entity in the pregnant patient, with an incidence of one in 500-635 patients. Its appearance requires a quick response and an early diagnosis to treat the underlying disease and prevent maternal and fetal morbidity. Imaging tests are essential, due to clinical and laboratory masking in this subgroup. Appendicitis and complicated biliary pathology are the most frequent causes of non-obstetric acute abdomen in the pregnant patient. The decision to operate, the timing, and the surgical approach are essential for a correct management of this pathology. The aim of this paper is to perform a review and update on the diagnosis and treatment of non-obstetric acute abdomen in pregnancy.

Keywords: Abdomen agudo; Acute abdomen; Apendicitis; Appendicitis; Biliary pathology; Diagnosis; Diagnóstico; Embarazo; Enfermedad biliar; Pregnancy.

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