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Case 1

Acute abdominal pain in pregnancy


Obstetic cause
• First half of pregnancy
• Secondary half of pregnancy
• Anytime in pregnancy
Non-obstretic cause
- Urologic
- GI
Obstetric cause
First half of pregnancy
• Ectopic pregnancy
• Miscarriage
• Ovarian hyperstimulation syndrome (OHSS)
Obstetric cause
Second half of pregnancy
• Preterm labor
• Chorioamnionitis
• Uterine rupture
• Placental abruption
Other cause
• Fibroid
• Ovarian cyst
Non-obstretic cause

• Urologic ..
UTIs
Acute pyelonephritis
Nephrolithiasis
Hydronephrosis
Non-obstretic cause
• GI cause
Appendicitis
Gastroenterocolitis
Cholecystitis
Pancreatitis
Intestinal obstruction
DDx. Case 1
• Acute appendicitis
• Acute gastroenteritis
• Ectopic pregnancy
Surgical cause of acute abdominal pain
• Lower abdominal pain
- Acute appendicitis
- Nephrolithiasis
- Inflammatory bowel disease (uncommon)
Case 2
DDx case 2
• Acute appendicitis
• Preterm labor
• Acute pancreatitis
• Acute pyelonephritis
Secondary half of pregnancy
• Life –threatening cause : placenta
abruption,pregnancy related liver
disease,preeclamsia ,uterine rupture
• Common cause : labor, intra-amniotic
infection
Surgical cause of acute abdominal pain
• Lower abdominal pain
- Acute appendicitis
- Nephrolithiasis
- Inflammatory bowel disease (uncommon)

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