Acute surgical abdomen in pregnancy
Journal Title: Revista Información Científica - Year 2018, Vol 97, Issue 6
Abstract
Introduction: acute surgical abdomen is an entity that, if not resolved surgically, causes death in most cases and, in pregnant women, it is of special interest since the symptoms and signs do not appear in a typical manner. Objective: to characterize the behavior of acute surgical abdomen in pregnant women in the gynecology service of the General Teaching Hospital "Octavio de la Concepción y de la Pedraja" in the municipality of Baracoa, Guantánamo. Method: a retrospective cross-sectional descriptive study of 25 clinical histories of pregnant patients who presented an acute surgical abdomen in the period from November 1996 to November 2005. Results: the group of 20-29 years of age had 64% of frequency followed by the group of 15-19 years, with 36%. Appendicitis was the most frequent cause of acute surgical abdomen with 10 cases, followed by acute cholecystitis and complicated ovarian cyst, both with 5 patients. This entity appeared in 68% of the patients who were in their second trimester of pregnancy, followed by the pregnant women of the third trimester, with 28%. There were symptoms of abdominal pain and tachycardia in 100% of the cases; nausea in 60%, and contracture and peritoneal reaction in 80%. Urosepsis was noted as a complication in 12%, sepsis of the surgical wound in 4%, for a morbidity rate of 20%, with a maternal mortality rate of 4%. Conclusions: the acute surgical abdomen presented with an incidence of 1.9 per 1000 pregnant women and more frequent in the ages between 20-29 years. Acute appendicitis, acute cholecystitis and complicated ovarian cyst are the diseases that most occurred in the acute surgical abdomen during the second trimester of pregnancy. The most frequent symptoms were: abdominal pain, contracture and peritoneal reaction. The highest percentage of cases was positive in the clinical diagnosis.
Authors and Affiliations
Wilson Laffita Labañino, Iván Rodríguez Terrero, William Jiménez Reyes, Emanuel Jeremías Fernández
Keywords
Related Articles
- EP ID EP434570
- DOI -
- Views 61
- Downloads 0
A critical look at the preanalytical considerations of blood gases
Introduction: one of the least discussed issues and that little is understood about it, is patient safety. It has recently become a ubiquitous and controversial issue, especially for some medical organizations. Objective...
Mammary actinomycosis. Presentation of two cases
Mammary actinomycosis is a chronic suppurative infection that is characterized by the production of "sulfur granules" from external fistulas in the skin of the breasts. Due to, it is a rare disease in this location. Two...
Oral cancer behavior in the Teaching General Hospital "Octavio de la Concepción de la Pedraja"
An observational, descriptive, cross-sectional study was carried out to determine the clinical behavior of oral cavity cancer in the General Teaching Hospital "Dr. Octavio de la Concepción de la Pedraja "in the period fr...
Communicative education against family violence: objective of Integral and General Medicine
Introduction: the family and the professionals of the MGI need knowledge about the management of family violence as a health problem, solution in the communicative educational action that is developed with the affected f...
Communicative competence of health professionals in the English language
Introduction: health professionals require communicative competence in the English language for their professional improvement, for their communication with professionals and patients from other nations, in addition to t...