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Book contents

Chapter 52 - Abdominal Pain in Pregnancy (Content last reviewed: 15th October 2018)

from Section 6 - Late Prenatal – Obstetric Problems

Published online by Cambridge University Press:  15 November 2017

David James
Affiliation:
University of Nottingham
Philip Steer
Affiliation:
Imperial College London
Carl Weiner
Affiliation:
University of Kansas
Bernard Gonik
Affiliation:
Wayne State University, Detroit
Stephen Robson
Affiliation:
University of Newcastle
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Summary

Abdominal pain during pregnancy presents unique clinical challenges, and the differential diagnoses are extensive.

Type
Chapter
Information
High-Risk Pregnancy
Management Options
, pp. 1523 - 1542
Publisher: Cambridge University Press
First published in: 2017

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References

Torloni, MR, Vadmedorska, N, Merialdi, M, et al. Safety of ultrasonography in pregnancy: WHO systematic review of the literature and meta-analysis. Ultrasound Obstet Gynecol 2009; 33: 599608.CrossRefGoogle ScholarPubMed
Chenn, MM, Coakley, FV, Kaimal, A, et al. Guidelines for computerized tomography and magnetic resonance imaging use during pregnancy and lactation. Obstet Gynecol 2008; 112: 333–40.Google Scholar
Streffer, C, Shore, R, Konermann, G, et al. Biological effects after prenatal irradiation (embryo and fetus). A report of the International Commission on Radiological Protection. Ann ICRP 2003; 33: 5206.Google ScholarPubMed
Karam, PA. Determining and reporting fatal radiation exposure from diagnostic radiation. Health Phys 2000; 79 (Suppl 5): 585–90.CrossRefGoogle Scholar
Cappell, MS, Colon, VJ, Sidhom, OA. A study of 10 medical centres of the safety and efficacy of 48 flexible sigmoidoscopies and 8 colonoscopies during pregnancy with follow-up of fetal outcome and with comparison to control groups. Dig Dis Sci 1996; 41: 2353–61.CrossRefGoogle Scholar
Pearl, J, Price, R, Richardson, W, Fanelli, R. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg Endosc 2011; 25: 3479–92.CrossRefGoogle ScholarPubMed
Reedy, MB, Galan, HL, Richards, WE, et al. Laparoscopy during pregnancy: a survey of laparoendoscopic surgeons. J Reprod Med 1997; 42: 33–8.Google ScholarPubMed
Oelsner, G, Stockheim, D, Soriano, D, et al. Pregnancy outcome after laparoscopy or laparotomy in pregnancy. J Am Assoc Gynecol Laparosc 2003; 10: 200–4.CrossRefGoogle ScholarPubMed
Rollins, MD, Chan, KJ, Price, RR. Laparoscopy for appendicitis and cholelithiasis during pregnancy: a new standard of care. Surg Endosc 2004; 18: 237–41.CrossRefGoogle ScholarPubMed
Wang, CJ, Yen, CF, Lee, CL, Soong, YK. Minilaparoscopic cystectomy and appendectomy in late second trimester. JSLS 2002; 6: 373–5.Google ScholarPubMed
McKellar, DP, Anderson, CT, Boynton, CJ, Peoples, JB. Cholecystectomy during pregnancy without fetal loss. Surg Gynecol Obstet 1992; 174: 465–8.Google ScholarPubMed
Casele, HL. The use of unfractionated heparin and low molecular weight heparins in pregnancy. Clin Obstet Gynecol 2006; 49: 895905.CrossRefGoogle ScholarPubMed
Lachman, E, Schienfield, A, Voss, E, et al. Pregnancy and laparoscopic surgery. J Am Assoc Gynecol Laparosc 1999; 6: 347–51.CrossRefGoogle ScholarPubMed
Fatum, M, Rojanshy, N. Laparoscopic surgery during pregnancy. Obstet Gynecol Surv 2001; 56: 50–9.CrossRefGoogle ScholarPubMed
Fardiazar, Z, Derakhshan, I, Torab, R, Vahedi, A, Goldust, M. Maternal-neonatal outcome in pregnancies with non-obstetric laparotomy during pregnancy. Pak J Biol Sci 2014; 17: 260–5.CrossRefGoogle ScholarPubMed
Kumar, A, Pearl, M. Mini-laparotomy versus laparoscopy for gynecologic conditions. J Minim Invasive Gynecol 2014; 21: 109–14.CrossRefGoogle ScholarPubMed
Jensen, JG. Uterine torsion in pregnancy. Acta Obstet Gynecol Scand 1992; 71: 260–5.CrossRefGoogle ScholarPubMed
Salani, R, Theiler, RN, Lindsay, M. Uterine torsion and fetal bradycardia associated with external cephalic version. Obstet Gynecol 2006; 108: 820–2.CrossRefGoogle ScholarPubMed
Setchell, M. Abdominal pain in pregnancy. In Studd, J (ed.), Progress in Obstetrics and Gynaecology, vol. 6. London: Churchill Livingstone, 1987, pp. 8999.Google Scholar
Yoneyama, K, Kimura, A, Kogo, M, et al. Clinical predictive factors for preterm birth in women with threatened preterm labour or preterm premature ruptured membranes. Aust N Z J Obstet Gynaecol 2009; 49: 1621.CrossRefGoogle ScholarPubMed
Andrews, CM, O’Neill, LM. Use of pelvic tilt exercise for ligament pain relief. J Nurse Midwifery 1994; 39: 370–4.CrossRefGoogle ScholarPubMed
Dowswell, T, Neilson, JP. Interventions for heartburn in pregnancy. Cochrane Database Syst Rev 2008; (4): CD007065.CrossRefGoogle Scholar
Gill, SK, O’Brien, L, Koren, G. The safety of histamine 2 (H2) blockers in pregnancy: A meta-analysis. Dig Dis Sci 2009; 54: 1835–8.CrossRefGoogle ScholarPubMed
Ford, F. Constipation in pregnancy. Pract Midwife 2008; 11: 2831.Google ScholarPubMed
Trash, HK, Friede, A, Hogue, CJ. Abdominal pregnancy in the United States: frequency and maternal mortality. Obstet Gynecol 1987; 69: 333–6.Google Scholar
Aliyu, LD, Ashimi, AO. A multicenter study of advanced abdominal pregnancy: a review of six cases in low resource settings. Europ J Obstet Gynecol Reprod Biol 2013; 170: 33–8.CrossRefGoogle ScholarPubMed
Nkusu Nunyalulendho, D, Einterz, EM. Advanced abdominal pregnancy: case report and review of 163 cases reported since 1946. Rural Remote Health 2008; 8: 1087–90.Google ScholarPubMed
Worley, KC, Hnat, MD, Cunningham, FG. Advanced extrauterine pregnancy: diagnostic and therapeutic challenges. Am J Obstet Gynecol 2008; 198: 297–9.CrossRefGoogle ScholarPubMed
Huang, K, Song, L, Wang, L, et al. Advanced abdominal pregnancy: an increasingly challenging clinical concern for obstetricians. Int J Clin Pathol 2014; 7: 5461–72.Google ScholarPubMed
Sunday-Adeoye, I, Twoney, D, Egwuatu, EV, Okonta, PI. A 30 year review of advanced abdominal pregnancy at the Mater Misericordiae Hospital, Afikpo, south eastern Nigeria (1976–2006). Arch Gynecol Obstet 2011; 283: 1924.CrossRefGoogle Scholar
Cetinkaya, MB, Kokcu, A, Alper, T. Follow up of the regression of the placenta left in situ in an advanced abdominal pregnancy using the Cavaleiri method. J Obstet Gynaecol Res 2005; 31: 22–6.CrossRefGoogle Scholar
Anderson, B, Nielson, TF. Appendicitis in pregnancy: diagnosis, management and complications. Acta Obstet Gynecol Scand 1998; 78: 758–62.Google Scholar
Andersson, RE, Lambe, M. Incidence of appendicitis during pregnancy. Int J Epidemiol 2001; 30: 1281–5.CrossRefGoogle ScholarPubMed
Wei, PL, Keller, JJ, Liang, HH, Lin, HC. Acute appendicitis and adverse pregnancy outcomes: a nationwide population-based study. J Gastrointest Surg 2012; 16: 1204–11.CrossRefGoogle ScholarPubMed
Tracey, M, Fletcher, HS. Appendicitis in pregnancy. Am Surg 2000; 66: 555–9.Google ScholarPubMed
Lehnert, BE, Gross, JA, Linnau, KF, Moshiri, M. Utility of ultrasound for evaluating the appendix during the second and third trimester of pregnancy. Emerg Radiol 2012; 19: 293–9.CrossRefGoogle ScholarPubMed
Israel, GM, Malguria, N, McCarthy, S, Copel, J, Weinreb, J. MRI vs. ultrasound for suspected appendicitis during pregnancy. J Magn Reson Imaging 2008; 28: 428–33.CrossRefGoogle ScholarPubMed
Coursey, CA, Nelson, RC, Patel, MB. Making the diagnosis of acute appendicitis: do more preoperative CT scans mean fewer negative appendectomies? A 10-year study. Radiology 2009; 254: 460–8.Google Scholar
Basaran, A, Basaran, M. Diagnosis of acute appendicitis during pregnancy: a systematic review. Obstet Gynecol Surv 2009; 64: 481–8.CrossRefGoogle ScholarPubMed
Pedrosa, I, Lafornara, M, Pandharipande, PV, et al. Pregnant patients suspected of having acute appendicitis: effect of MR imaging on negative laparotomy rate and appendiceal perforation rate. Radiology 2009; 250: 749–57.CrossRefGoogle ScholarPubMed
Corneille, MG, Gallup, TM, Bening, T, et al. The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. Am J Surg 2010; 200: 363–7.CrossRefGoogle ScholarPubMed
Zhang Y, , Zhao, YY, Qiao, J, Ye, RH. Diagnosis of appendicitis during pregnancy and perinatal outcome in the late pregnancy. Chin Med J (Engl) 2009; 122: 521–4.Google ScholarPubMed
Eom, JM, Hong, JH, Jeon, SW, et al. Safety and Clinical Efficacy of Laparoscopic Appendectomy for Pregnant Women with Acute Appendicitis. Ann Acad Med Singapore 2012; 41: 82–6.Google ScholarPubMed
Chung, JC, Cho, GS, Shin, EJ, Kim, HC, Song, OP. Clinical outcomes compared between laparoscopic and open appendectomy in pregnant women. Can J Surg 2013; 56: 341–6.CrossRefGoogle ScholarPubMed
Walker, HG, Samaraee, AA, Mills, SJ, Kalbassi, MR. Laparoscopic appendicectomy in pregnancy: a systematic review of the published evidence. Int J Surg 2014; 12: 1235–41.CrossRefGoogle ScholarPubMed
Jackson, H, Granger, S, Price, R, et al. Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review. Surg Endosc 2008; 22: 1917–27.CrossRefGoogle Scholar
Walsh, CA1, Tang, T, Walsh, SR. Laparoscopic versus open appendicectomy in pregnancy: a systematic review. Int J Surg 2008; 6: 339–44.CrossRefGoogle ScholarPubMed
Meyerson, S, Holtz, T, Ehringreis, M, et al. Small bowel obstruction in pregnancy. Am J Gastroenterol 1995; 90: 299302.Google ScholarPubMed
Rawlings, C. Management of postcaesarian Ogilvie’s syndrome and their subsequent outcomes. Aust N Z J Obstet Gynaecol 2010; 50: 573–81.CrossRefGoogle ScholarPubMed
Ko, CW, Beresford, SA, Schulte, SJ, Matsumoto, AM. Incidence, natural history, and risk factors for biliary sludge and stones during pregnancy. Hepatology 2005; 41: 359.CrossRefGoogle ScholarPubMed
Ko, CW. Risk factors for gallstone-related hospitalization during pregnancy and the postpartum. Am J Gastroenterol 2006; 101: 2263–8.CrossRefGoogle ScholarPubMed
Sang, SJ, Mayo, ML, Rodriguez-Frias, E, et al. Safety and utility of ERCP during pregnancy. Gastrointest Endosc 2009;69:453–61.Google Scholar
Othman, MO, Stone, E, Hashimi, M, Parasher, G. Conservative management of cholelithiasis and its complications in pregnancy is associated with recurrent symptoms and more emergency department visits. Gastrointest Endosc 2012; 76: 564–9.CrossRefGoogle ScholarPubMed
Sun, Y, Fan, C, Wang, S. Clinical analysis of 16 patients with acute pancreatitisin the third trimester of pregnancy Int J Clin Exp Pathol 2013; 6: 1696–701.Google ScholarPubMed
Kayatas, SE, Eser, M, Cam, C, Cogendez, E, Guzin, K. Acute pancreatitis associated with hypertriglyceridemia: a life-threatening complication. Arch Gynecol Obstet 2010; 281: 427–9.CrossRefGoogle ScholarPubMed
Wang, SS, Lin, XZ, Tsai, YT, et al. Clinical significance of ultrasonography, computed tomography, and biochemical testsin the rapid diagnosis of gallstone-related pancreatitis: a prospective study. Pancreas 1988; 3: 153–8CrossRefGoogle ScholarPubMed
Tang, SJ, Mayo, MJ, Rodriguez-Frias, E, et al. Safety and utility of ERCP during pregnancy. Gastrointest Endosc 2009; 69: 453–61.CrossRefGoogle ScholarPubMed
Hernandez, A, Petrov, MS, Brooks, DC, et al. Acute pancreatitis and pregnancy: a 10-year single center experience. J Gastrointest Surg 2007; 11: 1623–7.CrossRefGoogle ScholarPubMed
Date, RS, Kaushal, M, Ramesh, A. A review of the management of gallstone disease and its complications in pregnancy. Am J Surg 2008; 196: 599608.CrossRefGoogle ScholarPubMed
Crisan, LS, Steidl, ET, Rivera-Alsina, ME. Acute hyperlipidemic pancreatitis in pregnancy. Am J Obstet Gynecol 2009; 200: e9.Google Scholar
Eddy, JJ, Gideonsen, MD, Song, JY, et al. Pancreatitis in pregnancy. Obstet Gynecol 2008; 112: 1075–81.CrossRefGoogle ScholarPubMed
Pandey, R, Jacob, A, Brooks, H. Acute pancreatitis in pregnancy: review of three cases and anaesthetic management. Int J Obstet Anesth 2012; 21: 360–79.CrossRefGoogle ScholarPubMed
McClave, SA. Nutrition support in acute pancreatitis. Gastroenterol Clin North Am 2007; 36:6574.CrossRefGoogle ScholarPubMed
Smithson, A, Ruiz, J, Perello, R, et al. Diagnostic and management of spontaneous rectus sheath hematoma. Eur J Intern Med 2013; 24: 579–82.CrossRefGoogle ScholarPubMed
Kasotakis, G. Retroperitoneal and rectus sheath hematomas. Surg Clin North Am 2014; 94: 71–6.CrossRefGoogle ScholarPubMed
Chapelle, CF, Schutte, JM, Schuitemaker, NW, Steegers, EAP, van Roosmalen, J. Maternal mortality attributable to vascular dissection and rupture in the Netherlands: a nationwide confidential enquiry BJOG 2012; 119: 8693.CrossRefGoogle ScholarPubMed
Aubrey-Bassler, FK, Sowers, N. 613 cases of splenic rupture without risk factors or previously diagnosed disease: a systematic review. BMC Emerg Med 2012; 12: 11.CrossRefGoogle ScholarPubMed
Baker, PN, Madeley, RJ, Symonds, EM. Abdominal pain of unknown aetiology in pregnancy. Br J Obstet Gynaecol 1989; 96: 688–91.CrossRefGoogle ScholarPubMed

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