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Abstract
Non-obstetrical surgery during pregnancy is performed in approximately one in 500 pregnancies. The most common diagnostic indications are appendicitis and cholecystitis. Because normal anatomic and physiologic alterations occurring during pregnancy can mimic the presenting signs and symptoms of intra-abdominal problems requiring intervention, accurate diagnosis and timely surgical intervention can pose challenges ta the physician. The problems with the diagnosis and treatment of non-obstetrical surgical conditions are reviewed, and case examples of appendicitis and cholecystitis are used ta highlight the management approach to the pregnant patient.
Résumé
Environ une femme enceinte sur 500 doit subir une chirurgie non obstétrique pendant sa grossesse. Les deux causes les plus communes d’une telle intervention sont l’appendicite et la cholécystite. Comme les modifications anatomiques et physiologiques normales qui accompagnent la grossesse peuvent imiter les signes et les symptômes de troubles intra-abdominaux nécessitant une intervention, le médecin doit prendre toutes les précautions voulues pour poser un diagnostic exact et réagir à temps, si une intervention chirurgicale s’impose. Dans le présent article, nous examinons les problèmes du diagnostic et du traitement des états qui nécessitent une intervention chirurgicale non obstétrique, et nous utilisons des exemples de cas d’appendicite et de cholécystite pour mettre en lumière les méthodes de gestion des patientes enceintes.
Key Words
References
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Article info
Publication history
Accepted:
April 21,
1996
Received in revised form:
April 21,
1996
Received:
April 1,
1996
Identification
Copyright
© 1996 Published by Elsevier Inc.
