By Goran Augustin
This publication may also help the reader to acknowledge, diagnose, and deal with lots of the acute belly problems which may be encountered within the pregnant sufferer, even if linked to or incidental to the being pregnant. quite a lot of stipulations are addressed, together with a few that are very infrequent in addition to these extra often noticeable, reminiscent of acute appendicitis and acute cholecystitis. the foundations underlying prognosis and treatment are sincerely defined. specific gains within the scientific presentation of pregnant sufferers are highlighted, and particular diagnostic and healing algorithms and protocols, defined. consciousness is interested in the diagnostic problems which may come up from peculiar shows and to regulations at the use of convinced diagnostic imaging experiences. The publication is designed to satisfy the wishes of either the gynecologist and the overall or belly health care provider, who jointly shape the multidisciplinary group necessary for potent remedy that might guard mom and baby.
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Extra info for Acute Abdomen During Pregnancy
This leads to frequent confusion with appendicitis ; (2) during pregnancy, the uterus expands to accommodate the growing fetus. This increase in size and weight of the uterus puts stress on the ligament that holds it, causing it to stretch. , enlargement of the blood vessels of the round ligament, can occur during pregnancy, causing pain and swelling. 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.
4 Graded Abdominal Ultrasound As a noninvasive procedure, it is the diagnostic procedure of choice . Abdominal ultrasound has good accuracy in the first and second trimesters but has less accuracy in the third trimester. A noncompressible, blind-ended tubular structure that is visualized in the right lower quadrant with a maximal diameter greater than 6 mm is considered diagnostic. The reported sensitivity, specificity, and accuracy (overall percentage of correct test results) vary dramatically.
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. • MRI is used when no other cause of an acute abdomen is found. • The patient needs to give informed consent in writing; the safety of MRI for the fetus has not been proved according to the FDA guidelines and the American College of Radiology.