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
Related Articles
- EP ID EP374546
- DOI 10.9790/0853-1705054552.
- Views 53
- Downloads 0
Machined Ceramics: The Future of Restorative Dentistry
The aesthetic demands of the patients has resulted in an increased use of dental ceramics and has generated enhanced research in this field, leading to tremendous changes in the composition and processing techniques of d...
Outcome Of Ankle And Subtalar Joint Arthrodesis Using Retrograde Hindfoot Fusion Nailing System A Prospective Study
Ankle and subtalar joint, when painful and refractory to conservative management, needs fusion. Fusion of both joints, known as pantalar arthrodesis (PTA) is truly a salvage procedure, an alternative to amputation. Initi...
Primary malignant oro-facial tumours: A 14 year experience in a tertiary health institution in Gombe, North-East Nigeria
Objectives: To determine the pattern of presentations of oro-facial malignant lesions in Gombe, North-East Nigeria Subjects and Methods: Records of all patients with histologically diagnosed oro-facial malignant lesions...
Minimally Invasive Percutaneous Plate Osteosynthesis (Mippo) In The Treatment Of Pilon Fractures: A Prospective Study
Background: The management of Pilon fractures is challenging because of its poor vascularity, scarcity of soft tissues and it’s subcutaneous nature. A mechanically stable fracture-bridging osteo-synthesis can be obtained...
Study of Dispensing Practices at Pharmacy Settings in Kadapa
Objectives: According to schedule H only few drugs can be sold over the counter with out the prescription. This study is done to know whether pharmacists have awareness of schedule H.In Kadapa there are roughly 140 pharm...