Imaging of acute abdominal pain in the third trimester of pregnancy

BMJ ◽  
2018 ◽  
pp. k2511 ◽  
Author(s):  
J Shur ◽  
C Bottomley ◽  
K Walton ◽  
JH Patel
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Third Trimester ◽  
The Third

scholarly journals Use of point-of-care ultrasound to diagnose spontaneous rupture of fibroid in pregnancy

POCUS Journal ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 16-21
Author(s):  
Stephen Lammers ◽  
Christopher Hong ◽  
Jared Tepper ◽  
Christy Moore ◽  
Cameron Baston ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Acute Abdominal Pain ◽  
Point Of Care ◽  
Pregnant Patient ◽  
Point Of Care Ultrasound ◽  
Third Trimester ◽  
Current Case ◽  
The Third ◽  
In Pregnancy

Background: Complications of fibroids in pregnancy are well known, including postpartum hemorrhage, labor dystocia, and cesarean delivery. Outside of pregnancy and labor, the rare occurrence of spontaneous fibroid rupture has been documented. Case: The current case report involves a woman who presented with acute abdominal pain in the third trimester of pregnancy and was found to have spontaneous rupture of a fibroid before the onset of labor. Her initial presentation, diagnosis through use of point-of-care ultrasound, acute surgical management, and postoperative course are described. Conclusion: When assessing acute abdominal pain in a pregnant patient, fibroid rupture should be considered despite the absence of prior uterine surgery. Bedside point-of-care ultrasonography is a useful tool for assessment of abdominal pain in the third trimester of pregnancy.

scholarly journals Idiopathic Spontaneous Adrenal Hemorrhage in the Third Trimester of Pregnancy

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Narin Nasiroglu Imga ◽  
Yasemin Tutuncu ◽  
Mazhar Muslum Tuna ◽  
Berçem Ayçıçek Doğan ◽  
Dilek Berker ◽  
...  
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Adrenal Glands ◽  
Adrenal Tumor ◽  
Acute Abdominal Pain ◽  
Adrenal Hemorrhage ◽  
Test Results ◽  
Third Trimester ◽  
The Third ◽  
The Right

Spontaneous adrenal hemorrhage (SAH) is seen in the absence of trauma or adrenal tumor in adrenal glands. The incidence of SAH has been reported from 0.14% to 1.1% and it usually involves the right gland. During pregnancy, idiopathic unilateral SAH has been reported rarely. We present a case which comes to emergency department with an acute abdominal pain and the test results showed spontaneous left SAH.

scholarly journals Hydrosalpinx with acute abdominal pain during the third trimester of pregnancy: A case report

2018 ◽  
Vol 20 ◽  
pp. e00077
Author(s):  
Saeed Baradwan ◽  
Amira Baradwan ◽  
Afnan Baradwan ◽  
Dania Al-Jaroudi
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Acute Abdominal Pain ◽  
Third Trimester ◽  
The Third

scholarly journals Abdominal pain and hypertension in the third trimester of pregnancy. Is pre-eclampsia the only explanation?

2005 ◽  
Vol 20 (2) ◽  
pp. 457-459
Author(s):  
I. Massarenti ◽  
G. Piccoli ◽  
S. Bontempo ◽  
E. Gollo ◽  
G. Benedetto ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Third Trimester ◽  
The Third

A twisted giant corpus luteum cyst in the third trimester of pregnancy in a multigravida: A case report

2021 ◽  
Vol 5 ◽  
pp. 85-88
Author(s):  
Ubong Bassey Akpan ◽  
Theophilus Ipeh Ugbem ◽  
Ezukwa Omoronyia
Keyword(s):  
Corpus Luteum ◽  
Rare Case ◽  
Acute Abdominal Pain ◽  
First Trimester ◽  
Third Trimester ◽  
The Third ◽  
Emergency Cesarean ◽  
First Trimester Of Pregnancy ◽  
Histology Report ◽  
Corpus Luteum Cyst

Corpus luteum cyst is common in early pregnancy and seldom exceeds 5 cm in diameter; many of which resolve before the end of the first trimester of pregnancy. Giant corpus luteum cyst in third trimester is very rare especially in naturally-conceived pregnancies. We hereby report a rare case of twisted giant corpus luteum cyst in the third trimester in a 33-year-old multigravida. She presented with acute abdominal pain and vomiting at a gestational age of 34 weeks. Ultrasound scan revealed a twisted giant right ovarian cyst. She underwent an emergency cesarean delivery and right oophorectomy. Histology report showed features that were diagnostic of corpus luteum cyst.

scholarly journals Abdominal disturbances in children with Covid-19

2021 ◽  
Vol 5 (2) ◽  
pp. 874-875
Author(s):  
Ferizate Dika-Haxhirexha ◽  
Sevdije Koxha ◽  
Ledia Qatipi ◽  
Shqiponja Turkeshi ◽  
Aulona Haxhirexha
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Free Fluid ◽  
Normal Range ◽  
Pulmonary Lesions ◽  
The Third ◽  
The World ◽  
Almost All ◽  
Over Time

Covid-19 continues to spread at an unprecedented pace, sparing no country in the world and including almost all ages. Although at the beginning of the pandemic, it was thought that the virus did not affect children, however over time, in different countries, more and more cases of children with Covid-19 begun to appear, though rarely among them were recorded any victims.  However, the clinical picture of infections with this virus in children was much more challenging than in adults.  In this article, we will present the case of three children of ages 4 to 14 years, with signs of acute abdomen, respectively with acute abdominal pain, fever, vomiting, and in whom acute appendicitis was suspected. In all three patients, anamnestic data showed positive family members infected with covid-19.   All three children were sent to the surgery ward for follow-up and further treatment.  The laboratory analyzes in all of them resulted in increased values ​​of both erythrocyte sediment and CRP, while only in one of them the values ​​of LDH and transaminases (AST, ALT) were also increased.  Ultrasonographic examination of the abdomen in two children showed the presence of a small amount of free fluid in the abdomen and mesentery thickening with several packets of enlarged lymph nodes. Radiography of the lungs did not show pulmonary lesions in any of the children. Body temperature ranged from 37.2 to 38.50C, while urine was within the normal range.  All children were hospitalized and kept under observation for several consecutive days. At the same time, they were treated with antibiotics of the group of cephalosporins of the third generation, as well as with antipyretics (paracetamol). As their condition improved and the abdominal pain subsided completely, they were released from the hospital with instructions to continue the rest and taking vitamins at home in the form of ready-made preparations for children. Conclusion: While the Covid-19 pandemic is rapidly spreading and not sparing even children, pediatricians and surgeons must be very cautious in treating children with acute abdominal pain since infections with Covid-19, and not surgical diseases, might be the real cause of these concerns.   

scholarly journals Corrective surgery using a gridiron incision for abdominal pain caused by a folded ovary in the third trimester of pregnancy

2021 ◽  
Vol 49 (3) ◽  
pp. 030006052199774
Author(s):  
A Mi Kim ◽  
Jong Woon Kim ◽  
Yoon Ha Kim ◽  
Tae Young Kim ◽  
Hyun Kyung Ryu ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Laparoscopic Surgery ◽  
Tender Point ◽  
Sudden Onset ◽  
Third Trimester ◽  
Normal Appendix ◽  
Abdominal Ultrasonography ◽  
Lower Quadrant ◽  
The Third ◽  
The Right

Introduction Sonography and magnetic resonance imaging (MRI) may be helpful to obtain an accurate diagnosis of acute abdominal pain in pregnancy. Adnexal torsion presenting in the first or second trimester can be confirmed and treated through laparoscopic surgery; however laparoscopic surgery in the third trimester can be difficult owing to the large uterus, and a gridiron incision can be useful. Case Report/Case presentation An 18-year-old gravida 1, para 0 (G1P0) woman at 30 + 4 weeks of gestation presented with sudden-onset cyclic pain in the right lower quadrant. Abdominal ultrasonography showed a normal appendix, and MRI showed a normal appendix and normal ovaries. The patient’s prominent tender point was marked and compared with the MR images, which confirmed the mark as the position of the right ovary. Laparotomy was performed through a gridiron incision, and a folded right ovary was identified. The ovary was unfolded, and TachoSil® and Surgicel® were used to maintain the unfolded position. The patient’s pain resolved, and her postoperative course was uneventful. She delivered a healthy, 2540-g male baby at 35 weeks’ gestation. Discussion/Conclusions A gridiron incision was useful to treat a folded ovary in the third trimester and to evaluate the adnexa and minimize uterine manipulation.

Duodenal Volvulus due to Duodenum Inversum

2021 ◽  
pp. 000313482110111
Author(s):  
Mario P. Zambito ◽  
Erik J Teicher
Keyword(s):  
Peptic Ulcer ◽  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Nonoperative Management ◽  
Acute Abdominal Pain ◽  
Abnormal Position ◽  
Ulcer Disease ◽  
The Third ◽  
Rare Congenital Disorder ◽  
Experience Pain

Duodenum inversum, or inverted duodenum, is a rare congenital disorder resulting in an abnormal position of the third and/or fourth portions of the duodenum. Most patients are asymptomatic, but others can experience pain, nausea, vomiting, peptic ulcer disease, pancreatitis, and even intestinal obstruction. In this case, we report a patient who presented with acute abdominal pain and vomiting. He was diagnosed with duodenal volvulus and obstruction due to duodenum inversum. After failing nonoperative management, the patient was successfully treated with surgical resection.

scholarly journals Acute Onset Pancreatitis in the Third Trimester of Pregnancy in HBV Carrier Women Taking Telbivudine for Blocking Mother-to-Infant Transmission

2014 ◽  
Vol 3 (1) ◽  
pp. 38-41
Author(s):  
Hao-feng Xiong ◽  
Jing-yuan Liu ◽  
Hao-dong Cai ◽  
Jun Cheng
Keyword(s):  
Acute Pancreatitis ◽  
Antiretroviral Treatment ◽  
Acute Abdominal Pain ◽  
Acute Onset ◽  
Biliary Disease ◽  
Computed Tomography Scan ◽  
Child Transmission ◽  
Third Trimester ◽  
The Third ◽  
Tomography Scan

Abstract Acute pancreatitis in pregnancy (APIP) is rare and the reasons for APIP are biliary disease and congenital or acquired hypertriglyceridemia, which could occur during any trimester but more than 50% cases happened during the third trimester. In this report, one case of a young pregnant woman, a HBV carrier in her 37th week + 5 d of gestation, was admitted to Emergency Department due to acute abdominal pain, vomiting and diarrhea. The patient was in antiretroviral treatment with telbivudine from 28 weeks of gestation to prevent motherto- child transmission of HBV. Laboratory tests demonstrated hypertriglyceridemia, abdominal computed tomography scan revealed peripancreatic edema. Hyperlipidemic pancreatitits was primary diagnosed and the patient was admitted to the intensive care unit. Considering the possible role in the pathogenesis of pancreatitis, telbivudine was interrupted after birth giving. After supportive treatment, her condition gradually improved. Since it is the first description of APIP during treatment with telbivudine, the association between pregnancy, hyperlipidemia, telbivudine and acute pancreatitis has been well investigated.

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