Non-obstetric causes and presentations of acute abdominal pain among pregnant women

Faruk Hassan Faraj, H. A. Ali Ghalib, Ismael Yadullah Abdullah
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Abstract

Objectives: Assess the patient characteristics and presentations of non-obstetric causes of acute abdominal pain among pregnant women. Methods: Sixty five pregnant patients of different gestational age groups were enrolled in this study who visited Sulaimani Emergency Hospital between 2nd January 2019 and 31 December 2019.   Results: Acute appendicitis is the most common cause of non-obstetric abdominal pain in pregnant women (35.4%) followed by acute cholecystitis (18.5%) and renal stones (12.3%). Miscarriages are most commonly associated with acute pancreatitis with a rate of (50%). The majority of the patients were discharged home well within one month except for one patient (1.5%) who unfortunately died after surgical treatment for acute appendicitis. Conclusion: Acute appendicitis is the most common non-obstetric cause of acute abdominal pain in pregnant women. While 2nd and 3rd causes were, acute cholecystitis and renal colic consecutively in decreasing frequency. 
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孕妇急性腹痛的非产科原因和表现
目的:评估孕妇急性腹痛的患者特征和非产科原因的表现。方法:选取2019年1月2日至2019年12月31日到苏莱曼尼急救医院就诊的65例不同胎龄孕妇。结果:急性阑尾炎是引起孕妇非产科腹痛最常见的原因(35.4%),其次是急性胆囊炎(18.5%)和肾结石(12.3%)。流产最常与急性胰腺炎相关,发生率为50%。除1例(1.5%)患者因急性阑尾炎手术治疗后不幸死亡外,大多数患者在1个月内顺利出院。结论:急性阑尾炎是孕妇急性腹痛最常见的非产科原因。病因依次为急性胆囊炎、肾绞痛,呈下降趋势。
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审稿时长
12 weeks
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