Non-traumatic abdominal emergencies and pregnancy,difficult and high-risk situations
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Introduction: non gynecological abdominal emergencies are rare and serious during pregnancy. The seriousness is related to the delay of the diagnosis because of polymorphic and often misleading symptomatology during pregnancy. Materiel and foetal prognosis are very serious because of the therapeutic delay. The aim of our study is to evaluate therapeutic methods dealing with non-gynecological abdominal emergencies during pregnancy. Materiel and methods: an analysis of a series of 47 women patients whom have been taken in care for nongynecological abdominal emergencies during pregnancy. The study was carried out in our university hospital between 2004 and 2014. Results:Twenty-seven (27) of our patients had acute appendicitis, two had appendicitis peritonitis, six were hospitalized for occlusive syndrome on the bridle, one for volvulus of small bowel, three for herniation of the strangulated groin (2 inguinal hernias and 1 femoral hernia), another for strangulated umbilical hernia. One patient had mesenteric infarction and another had ulcerative colitis. Five patients were hospitalized for acute biliary pancreatitis (ABP). Two patients presented with syndrome of threat of preterm delivery with fever. The age of pregnancy ranged from 7 to 36 weeks of amenorrhea. Forty-two (42) of our patients were operated on. Two cases of premature delivery, two cases of abortion and one death have been reported Discussion:Non-gynecological abdominal emergencies are dominated by appendicular and hepatobiliary pathology. The diagnostic difficulty lies in the non-specificity of clinical signs during pregnancy. Nausea, vomiting and transit disorders are the usual clinical signs during pregnancy. Conclusion:Non-gynecological abdominal emergencies during pregnancy are a difficult and delicate situation, requiring multidisciplinary and early management, in order to avoid fetal and maternal complications.
Authors and Affiliations
Pr. Meziane Habarek, Ali Bendjaballah MD FACS
Keywords
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- DOI 10.9790/0853-1705054552.
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