Abstract

SARMIENTO, Guillermo Julián; ROSERO-BOTINA, Carolina Milena; SARZOSA-ROMERO, Johanna Andrea  and  SOLIS-PARRA, María Alejandra. Acute abdomen in pregnancy. rev. colomb. cir. [online]. 2017, vol.32, n.2, pp.102-108. ISSN 2011-7582.  https://doi.org/10.30944/20117582.13.

Objective: To characterize pregnant patients who presented with acute abdomen and ended in surgical exploration at two third level of care institutions in Popayán, Colombia, during a five year period. Methodology: Ambispective descriptive study of a case series, determining the sociodemographic and clinical characteristics of the pregnant patients who were admitted with the diagnosis of acute abdomen. Results: 43 patients were included with 27 years average age. The most common clinical symptom was abdominal pain (100%) located in the right iliac fossa (44%), right upper quadrant (25%), vomit (46%), nausea (23%), with an average evolution of 48 hours. Acute appendicitis was the most frequent pathology 20/43 (46.5%), with the same distribution in the first and second trimester, 7 cases respectively, with 8 complications, the most frequent being preterm delivery (10%); the second most common pathology was acute cholecystitis 17/43 (39.5%) being most frequent in the third trimester 8/17 (47%); there were two postoperative complications, premature delivery in both cases. In the first trimester, the laparoscopic approach was predominant, while in the second and third the open approach was predominant. Conclusions: Acute abdomen in pregnancy is most often due to appendicitis and acute cholecystitis. There was no maternal mortality in our series and in 10% there was gestational loss.

Keywords : Pregnancy; pregnancy complications; abdomen; acute; appendicitis; laparotomy; laparoscopy.

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