ANC with acute abdomen: a case report from secondary care hospital, Western Maharashtra

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dc.contributor.authorRathore, Nalinien_US
dc.contributor.authorTripathi, V. B.en_US
dc.contributor.authorDixit, Nilamen_US
dc.date.accessioned2024-09-24T10:58:45Z
dc.date.available2024-09-24T10:58:45Z
dc.date.issued2023-11
dc.description.abstractFemale body undergoes numerous anatomical and physiological changes in pregnancy which make diagnosis and management of acute abdomen in pregnancy as a most challenging situation. This may lead to dilemma and delayed identification of spectrum of causes of acute abdomen in pregnancy ultimately resulting in maternal and foetal morbidity and mortality. This case was to identify the spectrum of causes, the clinical presentation and diagnostic dilemma of acute abdomen in pregnancy. We presented one of the unusual and rare cause of acute abdomen with hemoperitoneum. Patient underwent emergency laparotomy with peritoneal wash with no obvious bleeding cause but evidence pointing towards vascular tumour or sub-serosal fibroid. The diagnosis remained obscured. The dilemma was attributed to higher radiological imaging with possibility of Haemorrhagic corpus luteum and non-viable heterotopic pregnancy. The cause of bleeding could not be identified with higher imaging due to contraindicated use of contrast enhanced MRI/CT and other alternatives due to radiation exposure in pregnancy. Diagnosis and treatment of acute abdomen in pregnancy should be individualized for better prognosis. Good clinical acumen is essential for ordering early diagnosis and intervention in acute abdomen in pregnancy.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, AFMC, Pune, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, AFMC, Pune, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Military Hospital, Kirkee, Maharashtra, Indiaen_US
dc.identifier.citationRathore Nalini, Tripathi V. B., Dixit Nilam . ANC with acute abdomen: a case report from secondary care hospital, Western Maharashtra . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Nov; 12(11): 3393-3398en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/234701
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber11en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20233317en_US
dc.subjectAascular tumouren_US
dc.subjectSub-serosal fibroiden_US
dc.subjectUltrasonographyen_US
dc.subjectMRIen_US
dc.subjectCT haemorrhagic corpus luteumen_US
dc.subjectNon-viable heterotopic pregnancy emergency laparotomyen_US
dc.subjectPeritoneal washen_US
dc.titleANC with acute abdomen: a case report from secondary care hospital, Western Maharashtraen_US
dc.typeJournal Articleen_US
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