Abdominal Pain in

Abdominal Pain in
Pregnancy
Pregnancy
Max Brinsmead PhD FRANZCOG Max Brinsmead PhD FRANZCOG
July !" July !"
Di##eren$ial Diagnosis
% Physiological
% Pregnancy&rela$ed Pa$hology
% 'nrela$ed $o Pregnancy
Physiological Causes o#
Abdominal Pain
% (he cor)us lu$eum
% Round ligamen$ )ain
% 're$eric obs$ruc$ion
% Ner*e en$ra)men$
% Cons$i)a$ion and colic
% +ym)hyseal se)ara$ion
% Acid re#lux , oeso)hagi$is
% 'mbilical s-in s$re$ching
Pregnancy Rela$ed
Pa$hology
% .c$o)ic ges$a$ion
% Placen$al bleeding /
% ie miscarriage , abru)$ion
% Prema$ure labour
% +e*ere )re eclam)sia
% O*arian cys$ com)lica$ion
% (ubal $orsion
% Fibroid degenera$ion
% '$erine ru)$ure
Abdominal Pain 'nrela$ed
$o Pregnancy
% Appendicitis
% (PID)
% Urinary tract infection/stone
% Cholecystitis and biliary colic
% Pancreatitis
% Splenic artery rupture
% Volvulus sigoid/Caecu
Dimensions in
Managemen$
% Ma$ernal anxie$y
/ And also $ha$ o# #amily
% Pregnancy )hysiology
/ Al$ers sym)$oms0 signs and labora$ory $es$s
% (hera)eu$ic )aralysis
/ Medical
/ +urgical
Curren$ Con$ro*ersies
% Role o# la)arosco)y
/ Diagnos$ic
/ (hera)eu$ic
% Ris- o# Pre $erm labour
/ A role #or $ocolysis1