Acute Abdomen in Pregnancy

Objective. The purpose of this presentation is to review the role of sonography in evaluation of acute abdomen during pregnancy. Methods. Illustrative cases were collected from gravid patients who presented with signs and symptoms suspicious for acute abdomen and subsequently underwent sonography. Results. This presentation shows sonographic findings of various maternal complications that can present with acute abdominal pain in pregnant patients. Conclusions. Sonography remains the first line of imaging in pregnant patients presenting with acute abdomen. Patient triage or additional imaging may be obtained on the basis of the sonographic findings.

[1]  N. Rofsky,et al.  Pregnant patients suspected of having acute appendicitis: effect of MR imaging on negative laparotomy rate and appendiceal perforation rate. , 2009, Radiology.

[2]  A. Ramesh,et al.  A review of the management of gallstone disease and its complications in pregnancy. , 2008, American journal of surgery.

[3]  F. Smaill,et al.  Asymptomatic bacteriuria and symptomatic urinary tract infections in pregnancy , 2008, European journal of clinical investigation.

[4]  B. Boubli,et al.  Les hyperplasies de l’endomètre , 2006 .

[5]  C. Ko.  Risk Factors for Gallstone-Related Hospitalization During Pregnancy and the Postpartum , 2006, The American Journal of Gastroenterology.

[6]  B. Siewert,et al.  MR imaging evaluation of acute appendicitis in pregnancy. , 2006, Radiology.

[7]  J. McGahan,et al.  Blunt abdominal injury in the pregnant patient: detection with US. , 2004, Radiology.

[8]  W. Mann,et al.  Adenocarcinoma of the appendix in pregnancy: a case report. , 2004, The Journal of reproductive medicine.

[9]  C. Dunton,et al.  Endometrial Hyperplasia: A Review , 2004, Obstetrical & gynecological survey.

[10]  K. Loughlin,et al.  Nephrolithiasis and pregnancy , 2004, Current opinion in urology.

[11]  M. Schiff,et al.  Maternal and infant outcomes after injury during pregnancy in Washington State from 1989 to 1997. , 2002, The Journal of trauma.

[12]  H. Sharp.  The acute abdomen during pregnancy. , 2002, Clinical obstetrics and gynecology.

[13]  Daehee Han,et al.  Color and power Doppler twinkling artifacts from urinary stones: clinical observations and phantom studies. , 2001, AJR. American journal of roentgenology.

[14]  Jm Roberts,et al.  Pathogenesis and genetics of pre-eclampsia , 2001, The Lancet.

[15]  L. Wagner,et al.  Radiologic ABCs of maternal and fetal survival after trauma: when minutes may count. , 1999, Radiographics : a review publication of the Radiological Society of North America, Inc.

[16]  T. Tharakan,et al.  Laparoscopic cholecystectomy during pregnancy: a case series and review of the literature. , 1998, Obstetrical & gynecological survey.

[17]  J. Platt,et al.  Renal duplex Doppler sonography in asymptomatic women during pregnancy , 1993, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[18]  L. Stothers,et al.  Renal colic in pregnancy. , 1992, The Journal of urology.

[19]  R. Mazze,et al.  Appendectomy During Pregnancy: A Swedish Registry Study of 778 Cases , 1991, Obstetrics and gynecology.

[20]  G. Dildy,et al.  Spontaneous Rupture of Liver During Pregnancy: Current Therapy , 1991, Obstetrics and gynecology.

[21]  C. Compton,et al.  The sonographic diagnosis of acute gangrenous cholecystitis: importance of the Murphy sign. , 1989, AJR. American journal of roentgenology.

[22]  B. Walters,et al.  Acute Fatty Liver of Pregnancy: Clinical Features and Diagnosis , 1988, The Australian & New Zealand journal of obstetrics & gynaecology.

[23]  L. Jones,et al.  Acute appendicitis during pregnancy. , 1986, The American surgeon.

[24]  J. Kirsner,et al.  Inflammatory bowel disease in the pregnant woman. , 1985, Clinics in perinatology.

[25]  P. Colletti,et al.  Real-time sonography in suspected acute cholecystitis. Prospective evaluation of primary and secondary signs. , 1985, Radiology.

[26]  J. Hauth,et al.  Amylase and Isoamylase Activities in Serum of Pregnant Women , 1984, Obstetrics and gynecology.

[27]  J. Riemann,et al.  [Acute pancreatitis in pregnancy]. , 1981, Die Medizinische Welt.

[28]  C. Meehan,et al.  The use of MRI to demonstrate small bowel obstruction during pregnancy. , 2007, The British journal of radiology.

[29]  C. Ko.  Biliary sludge and acute pancreatitis during pregnancy , 2006, Nature Clinical Practice Gastroenterology &Hepatology.

[30]  T. Theodosopoulos,et al.  Colorectal cancer emergencies during pregnancy case reports. , 2006, European journal of gynaecological oncology.

[31]  H. Khairi,et al.  Acute appendicitis during pregnancy. , 2001, La Tunisie medicale.

[32]  B. Sibai,et al.  Pregnancies complicated by HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets): subsequent pregnancy outcome and long-term prognosis. , 1995, American journal of obstetrics and gynecology.