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Non-Obstetric Abdominal Surgical Emergencies in Pregnancy and Puerperium

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Textbook of Emergency General Surgery

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Abstract

This chapter offers recommendations, guidelines, and scenarios to provide fundamental support for all clinicians to recognize, diagnose, and treat most of the acute abdominal diseases that may be encountered in the pregnant patient, whether associated with or incidental to the pregnancy. A wide range of conditions is addressed, including some which are very rare as well as those more frequently seen, such as acute appendicitis, acute cholecystitis, abdominal trauma, and ectopic pregnancy. Particular features in the clinical presentation of pregnant patients are highlighted, and specific diagnostic and therapeutic algorithms and protocols described. Attention is drawn to the diagnostic difficulties that may arise from atypical presentations and to restrictions on the use of certain diagnostic imaging studies. This chapter highlights the importance of a rapid diagnosis to avoid serious consequences for both the mother and the fetus. It is designed to meet the needs of both the gynecologist and the general or abdominal surgeon, who together form the multidisciplinary team mandatory for an effective treatment that will safeguard mother and baby.

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References

  1. Zingone F, Sultan AA, Humes DJ, West J. Risk of acute appendicitis in and around pregnancy: a population-based cohort study from England. Ann Surg. 2015;261:332–7.

    Article  PubMed  Google Scholar 

  2. Morrell DG, Mullins JR, Harrison P. Laparoscopic cholecystectomy during pregnancy in symptomatic patients. Surgery. 1992;112:856–9.

    CAS  PubMed  Google Scholar 

  3. Graham G, Baxi L, Tharakan T. Laparoscopic cholecystectomy during pregnancy: a case series and review of the literature. Obstet Gynecol Surv. 1998;53:566–74.

    Article  CAS  PubMed  Google Scholar 

  4. Wishner JD, Zolfaghari D, Wohlgemuth S, et al. Laparoscopic cholecystectomy in pregnancy. A report of 6 cases and review of the literature. Surg Endosc. 1996;10:314–8.

    Article  CAS  PubMed  Google Scholar 

  5. McKay AJ, O’Neill J, Imrie C. Pancreatitis, pregnancy and gallstones. BJOG. 1980;87:47–50.

    Article  CAS  Google Scholar 

  6. Go VL, Everhart J. Pancreatitis. In: Everhart JE, editor. Digestive diseases in the United States: epidemiology and impact. Washington, DC: US Government Printing Office NIH Publication no. 94-1447; 1994. p. 693.

    Google Scholar 

  7. Ramin KD, Ramin SM, Richey SD, Cunningham F. Acute pancreatitis in pregnancy. Am J Obstet Gynecol. 1995;173:187–91.

    Article  CAS  PubMed  Google Scholar 

  8. Robertson KW, Stewart IS, Imrie C. Severe acute pancreatitis and pregnancy. Pancreatology. 2006;6:309–15.

    Article  CAS  PubMed  Google Scholar 

  9. Carilli S. Hernia repair during cesarean section. Int J Clin Med. 2015;6:1–6.

    Article  Google Scholar 

  10. Perdue PW, Johnson HW Jr, Stafford PW. Intestinal obstruction complicating pregnancy. Am J Surg. 1992;164(4):384–8. http://ac.els-cdn.com/S0002961005809109/1-s2.0-S0002961005809109-main.pdf?_tid=7e435fc0-1677-11e4-bb93-00000aab0f01&acdnat=1406566500_b0d064d2c33a9a108694e5d1e390be37

    Article  CAS  PubMed  Google Scholar 

  11. Barraco RD, Chiu WC, Clancy T, et al. Practice management guidelines for the diagnosis and management of injury in the pregnant patient: the EAST practice management guidelines work group. J Trauma. 2010;69:211–4.

    PubMed  Google Scholar 

  12. Shah KH, Simons RK, Holbrook T, Fortlage D, Winchell RJ, Hoyt DB. Trauma in pregnancy: maternal and fetal outcomes. J Trauma. 1998;45(1):83–6. http://www.ncbi.nlm.nih.gov/pubmed/9680017

    Article  CAS  PubMed  Google Scholar 

  13. Maes U. A surgical consideration of appendicitis in pregnancy. Am J Obstet Gynecol. 1934;27:214–24.

    Article  Google Scholar 

  14. Bolukbas FF, Bolukbas C, Horoz M, et al. Risk factors associated with gallstone and biliary sludge formation during pregnancy. J Gastroenterol Hepatol. 2006;21:1150–3.

    Article  PubMed  Google Scholar 

  15. Mokdad AH, Ford ES, Bowman B, et al. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA. 2003;289:76–9.

    Article  PubMed  Google Scholar 

  16. Hernandez A, Petrov MS, Brooks D, et al. Acute pancreatitis in pregnancy: a 10-year single center experience. J Gastrointest Surg. 2007;11:1623–7.

    Article  PubMed  Google Scholar 

  17. Rakshit A, Dey R, De M, Biswas RR, Biswas S. Pancreatitis in pregnancy – a scenario in a tertiary care Centre. Al Ameen J Med Sci. 2010;3:332–6.

    Google Scholar 

  18. Smith RN, Crosby W. Unpublished observations on labor in the baboon.

    Google Scholar 

  19. Lister RD, Milsom B. Car seat belts: an analysis of the injuries sustained by car occupants. Practitioner. 1963;191:332–40.

    CAS  PubMed  Google Scholar 

  20. Lindgren S, Warg E. Seat belts and accident prevention. Practitioner. 1962;188:467–73.

    CAS  PubMed  Google Scholar 

  21. Confavreux C, Hutchingson M, Hours M, et al. Rate of pregnancy-related relapses in multiple sclerosis. N Engl J Med. 1998;339:285–91.

    Article  CAS  PubMed  Google Scholar 

  22. Sungler P, Heinerman PM, Steiner H, et al. Laparoscopic cholecystectomy and interventional endoscopy for gallstone complications during pregnancy. Surg Endosc. 2000;14:267–71.

    Article  CAS  PubMed  Google Scholar 

  23. Davis M, Ryan J. Influence of progesterone on Guinea pig gallbladder motility in vitro. Dig Dis Sci. 1986;31:513–8.

    Article  CAS  PubMed  Google Scholar 

  24. Behar J. Clinical aspects of gallbladder motor function and dysfunction. Curr Gastroenterol Rep. 1999;1:91–4.

    Article  CAS  PubMed  Google Scholar 

  25. Braverman DZ, Johnson ML, Kern F. Effects of pregnancy and contraceptive steroids on gallbladder function. New Engl J Med. 1980;302:362–4.

    Article  CAS  PubMed  Google Scholar 

  26. Wang HH, Afdhal NH, Wang DQ-H. Overexpression of estrogen receptor alpha increases hepatic cholesterogenesis, leading to biliary hypersecretion in mice. J Lipid Res. 2006;47(4):778–86. http://www.ncbi.nlm.nih.gov/pubmed/16380638

    Article  CAS  PubMed  Google Scholar 

  27. Eddy JJ, Gideonsen MD, Song J, et al. Pancreatitis in pregnancy. Obstet Gynecol. 2008;112:1075–81.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Kautzky-Willer A, Prager R, Waldhausl W, et al. Pronounced insulin resistance and inadequate beta-cell secretion characterize lean gestational diabetes during and after pregnancy. Diabetes Care. 1997;20:1717–23.

    Article  CAS  PubMed  Google Scholar 

  29. Ross G. Pancreatitis following pregnancy. BMJ. 1955;1:349–50.

    Article  PubMed Central  Google Scholar 

  30. Penney D, Ganapathy R, Jonas-Obichere M, El-Refeay H. Intussusception: a rare cause of abdominal pain in pregnancy. Ultrasound Obstet Gynecol. 2006;28(5):723–5.

    Article  CAS  PubMed  Google Scholar 

  31. Cunningham FG, Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, et al. Williams obstetrics 24th edition [Internet]. 2014. http://www.ncbi.nlm.nih.gov/pubmed/15003161%5Cn, http://cid.oxfordjournals.org/lookup/doi/10.1093/cid/cir991%5Cn, http://www.scielo.cl/pdf/udecada/v15n26/art06.pdf%5Cn, http://www.scopus.com/inward/record.url?eid=2-s2.0-84861150233&partnerID=tZOtx3y1

  32. Unal A, Sayharman SE, Ozel L, et al. Acute abdomen in pregnancy requiring surgical management: a 20-case series. Eur J Obstet Gynecol Reprod Biol. 2011;159:87–90.

    Article  PubMed  Google Scholar 

  33. King RM, Anderson G. Appendicitis and pregnancy. Calif Med. 1962;97:158–62.

    CAS  PubMed  PubMed Central  Google Scholar 

  34. Andersen B, Nielsen T. Appendicitis in pregnancy: diagnosis, management and complications. Acta Obstet Gynecol Scand. 1999;78:758–62.

    CAS  PubMed  Google Scholar 

  35. Zhang Y, Zhao YY, Qiao J, Ye R. Diagnosis of appendicitis during pregnancy and perinatal outcome in the late pregnancy. Chin Med J. 2009;122:521–4.

    PubMed  Google Scholar 

  36. Onder A, Kapan M, Arikanoglu Z, et al. Acute appendicits in pregnancy: evaluation of 129 patients during 20 years. J Curr Surg. 2012;2:4–10.

    Google Scholar 

  37. Mourad J, Elliott JP, Erickson L, Lisboa L. Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs. Am J Obstet Gynecol. 2000;182:1027–9.

    Article  CAS  PubMed  Google Scholar 

  38. Heaton G. Some peculiarities of appendicitis in the female sex, with special reference to appendicitis occuring during pregnancy. BMJ. 1905;1(2305):463–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Auguste T, Murphy B, Oyelese Y. Appendicitis in pregnancy masquerading as recurrent preterm labor. Int J Gynaecol Obstet. 2002;76:181–2.

    Article  CAS  PubMed  Google Scholar 

  40. Dasari P, Maurya D. The consequences of missing appendicitis during pregnancy. BMJ Case Rep. 2011;2011:bcr.05.2011.4185.

    Article  Google Scholar 

  41. Cunningham FG, McCubbin J. Appendicitis complicating pregnancy. Obstet Gynecol. 1975;45:415–20.

    CAS  PubMed  Google Scholar 

  42. DeVore G. Acute abdominal pain in the pregnant patient due to pancreatitis, acute appendicitis, cholecystitis, or peptic ulcer disease. Clin Perinatol. 1980;7:349–69.

    Article  CAS  PubMed  Google Scholar 

  43. Hinshaw J. The acute abdomen complication pregnancy. J Oklahoma Med Assoc. 1963;56:4–7.

    CAS  Google Scholar 

  44. Bailey LE, Finley J, RK; Miller, SF; Jones L. Acute appendicitis during pregnancy. Am Surg. 1986;52:218–21.

    CAS  PubMed  Google Scholar 

  45. El Ghali MA, Kaabia O, Ben MZ, Jgham M, Tej A, Sghayer A, et al. Acute appendicitis complicating pregnancy: a 33 case series, diagnosis and management, features, maternal and neonatal outcomes. Pan Afr Med J. 2018;30:212.

    PubMed  PubMed Central  Google Scholar 

  46. Chen CF, Yen SJ, Tan K, et al. Acute appendicitis during pregnancy. J Med Sci. 1999;19:256–62.

    Google Scholar 

  47. Kurtz GR, Davis RS, Sproul J. Acute appendicitis in pregnancy and labor, a report of 41 cases. Obstet Gynecol. 1964;23:528–32.

    Google Scholar 

  48. Masters K, Levine BA, Gaskill HV, Sirinek K. Diagnosing appendicitis during pregnancy. Am J Surg. 1984;148:768–71.

    Article  CAS  PubMed  Google Scholar 

  49. Amos JD, Schorr SJ, Norman P, et al. Laparoscopic surgery during pregnancy. Am J Surg. 1996;171:435–7.

    Article  CAS  PubMed  Google Scholar 

  50. Hoshino T, Ihara Y, Suzuki T. Appendicitis during pregnancy. Int J Gynaecol Obstet. 2000;69:271–3.

    Article  CAS  PubMed  Google Scholar 

  51. Saddique M, Oqbal P, Ghazi A. Appendicitis in pregnancy; does modified Alvarado score have a predictive value. Pak J Surg. 2009;25:25–8.

    Google Scholar 

  52. Rosen MP, Ding A, Blake M, et al. ACR appropriateness criteria right lower quadrant pain-suspected appendicitis. J Am Coll Radiol. 2011;8:749–55.

    Article  PubMed  Google Scholar 

  53. Lim HK, Bae SH, Seo G. Diagnosis of acute appendicitis in pregnant women: value of sonography. Am J Roentgenol. 1992;159:539–42.

    Article  CAS  Google Scholar 

  54. Negrete LM, Spalluto LB. Don’t be short-sighted: cervical incompetence in a pregnant patient with acute appendicitis. Clin Imaging. 2018;51:35–7.

    Article  PubMed  Google Scholar 

  55. Abramowicz JS, Kossoff G, Marsal K, et al. Safety Statement, 2000 (reconfirmed 2003). International Society of Ultrasound in obstetrics and gynecology (ISUOG). Ultrasound Obstet Gynecol. 2003(21):100.

    Google Scholar 

  56. Bramante R, Radomski M, Nelson M, Raio C. Appendicitis diagnosed by emergency physician performed point-of-care transvaginal ultrasound: case series. West J Emerg Med. 2013;14:415–8.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Masselli G, Derchi L, McHugo J, Rockall A, Vock P, Weston M, et al. Acute abdominal and pelvic pain in pregnancy: ESUR recommendations. Eur Radiol. 2013;23:3485–500.

    Article  PubMed  Google Scholar 

  58. Garcia EM, Camacho MA, Karolyi DR, Kim DH, Cash BD, Chang KJ, et al. ACR Appropriateness Criteria® right lower quadrant pain-suspected appendicitis. J Am Coll Radiol. 2018;15:S373–87.

    Article  PubMed  Google Scholar 

  59. Poletti PA, Botsikas D, Becker M, Picarra M, Rutschmann OT, Buchs NC, et al. Suspicion of appendicitis in pregnant women: emergency evaluation by sonography and low-dose CT with oral contrast. Eur Radiol. 2019;29:345–52.

    Article  PubMed  Google Scholar 

  60. Davis A, Katz VL, Cox R. Gallbladder disease in pregnancy. J Reprod Med Obstet Gynecol. 1995;40:759–62. http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed3&NEWS=N&AN=1995346225

  61. Augustin G, Majerovic M. Non-obstetrical acute abdomen during pregnancy. Europ J Obstet Gynecol Reprod Biol. 2007;131:4–12.

    Article  Google Scholar 

  62. Rambal S, Manhas K, Sharma S, Gupta S. Ultrasound evaluation of gallbladder disease in pregnancy. JK Sci. 2001;3:78–83.

    Google Scholar 

  63. Kennedy A. Assessment of acute abdominal pain in the pregnant patient. Semin Ultrasound CT MR. 2000;21:64–77.

    Article  CAS  PubMed  Google Scholar 

  64. Sreelatha S, Nataraj V. Acute pancreatitis in pregnancy. Indian J Clin Pr. 2012;23:231–2.

    Google Scholar 

  65. Fortson MR, Freedman SN, Webster P 3rd. Clinical assessment of hyperlipidemic pancreatitis. Am J Gastroenterol. 1995;90:2134–9.

    CAS  PubMed  Google Scholar 

  66. Kokrdova Z. Pregnancy and primary hyperparathyroidism. J Obstet Gynaecol. 2010;30:57–9.

    Article  CAS  PubMed  Google Scholar 

  67. Oto A, Ernst R, Ghulmiyyah L, et al. The role of MR cholangiopancreatography in the evaluation of pregnant patients with acute pancreaticobiliary disease. Br J Radiol. 2009;82:279–85.

    Article  CAS  PubMed  Google Scholar 

  68. Pacheco R, Nishioka Sde A, de Oliveira L. Validity of serum amylase and lipase in the differential diagnosis between acute/acutized chronic pancreatitis and other causes of acute abdominal pain. Arq Gastroenterol. 2003;40:233–8.

    Article  PubMed  Google Scholar 

  69. Norwood SH, Torma MJ, Fontenelle L. Hyperamylasemia due to poorly differentiated adenosquamous carcinoma of the ovary. Arch Surg. 1981;116:225–6.

    Article  CAS  PubMed  Google Scholar 

  70. Vissers R, Abu-Laban R, McHugh D. Amylase and lipase in the emergency department evaluation of acute pancreatitis. J Emerg Med. 1999;17:1027–37.

    Article  CAS  PubMed  Google Scholar 

  71. Hudson C. Ileostomy in pregnancy. Proc R Soc Med. 1972;65:281–3.

    CAS  PubMed  PubMed Central  Google Scholar 

  72. Buchsbaum H. Penetrating injury of the abdomen. In: Buchsbaum H, editor. Trauma in pregnancy. 1st ed. Philadelphia, PA: WB Saunders; 1979. p. 82–142.

    Google Scholar 

  73. Moore EE, Moore JB, Van Duzer-Moore S, Thompson J. Mandatory laparotomy for gunshot wounds penetrating the abdomen. Am J Surg. 1980;140:847–51.

    Article  CAS  PubMed  Google Scholar 

  74. Geggie N. Gunshot wound of the pregnant uterus with survival of the fetus. CMAJ. 1961;84:489–91.

    CAS  Google Scholar 

  75. Wylie BJ, D’Alton ME. Fetomaternal hemorrhage. Obstet Gynecol. 2010;115(5):1039–51.

    Article  PubMed  Google Scholar 

  76. Bochicchio GV, Napolitano LM, Haan J, Champion H, Scalea T. Incidental pregnancy in trauma patients. J Am Coll Surg. 2001;192(5):566–9.

    Article  CAS  PubMed  Google Scholar 

  77. Kim Y, Makar R. Detection of fetomaternal hemorrhage. Am J Hematol. 2012;

    Google Scholar 

  78. Richards JR, Ormsby EL, Romo MV, Gillen M, a, McGahan JP. Blunt abdominal injury in the pregnant patient: detection with US. Radiology. 2004;233(2):463–70.

    Article  PubMed  Google Scholar 

  79. Goodwin H, Holmes JF, Wisner DH. Abdominal ultrasound examination in pregnant blunt trauma patients. J Trauma. 2001;50(4):689–93; discussion 694. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11303166

    Article  CAS  PubMed  Google Scholar 

  80. Cheng HT, Wang YC, Lo H, et al. Laparoscopic appendectomy versus open appendectomy in pregnancy: a population-based analysis of maternal outcome. Surg Endosc. 2015;29:1394–9.

    Article  PubMed  Google Scholar 

  81. Amitai MM, Katorza E, Guranda L, Apter S, Portnoy O, Inbar Y, et al. Role of emergency magnetic resonance imaging in the workup of suspected appendicitis in pregnant women. Isr Med Assoc J. 2016;18:600–4.

    PubMed  Google Scholar 

  82. Joo JI, Park HC, Kim MJ, Lee BH. Outcomes of antibiotic therapy for uncomplicated appendicitis in pregnancy. Am J Med. 2017;130:1467–9.

    Article  PubMed  Google Scholar 

  83. Black W. Acute appendicitis in pregnancy. BMJ. 1960;1:1938–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. McGory ML, Zingmond DS, Tillou A, et al. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg. 2007;205:534–40.

    Article  PubMed  Google Scholar 

  85. Hiersch L, Yogev Y, Ashwal E, et al. The impact of pregnancy on the accuracy and delay in diagnosis of acute appendicitis. J Matern Fetal Neonatal Med. 2014;27:1357–60.

    Article  PubMed  Google Scholar 

  86. Bennett TL, Estes N. Laparoscopic cholecystectomy in the second trimester of pregnancy: a case report. J Reprod Med. 1993;38:833–4.

    CAS  PubMed  Google Scholar 

  87. Sadot E, Telem DA, Arora M, et al. Laparoscopy: a safe approach to appendicitis during pregnancy. Surg Endosc. 2010;24:383–9.

    Article  PubMed  Google Scholar 

  88. Tamir IL, Bongard FS, Klein S. Acute appendicitis in the pregnant patient. Am J Surg. 1990;160:571–6.

    Article  CAS  PubMed  Google Scholar 

  89. Basaran A, Basaran M. Diagnosis of acute appendicitis during pregnancy - a systematic review. Obstet Gynecol Surv. 2009;64:481–8.

    Article  PubMed  Google Scholar 

  90. Kuvacic I, Skrablin S, Zupancic B, Lovric H. Appendicitis in the early puerperium: case report. Gynaecol Perinatol Gynaecol Perinatol. 2003;12:130–2.

    Google Scholar 

  91. Irvine SW, Devereaux RS, Wang H. Postpartum appendicitis manifesting as umbilical purulence. Am J Emerg Med. 2010;28(262):e1–3.

    Google Scholar 

  92. Tracey M, Fletcher H. Appendicitis in pregnancy. Am Surg. 2000;66:555–60.

    Article  CAS  PubMed  Google Scholar 

  93. Al-Mulhim A. Acute appendicitis in pregnancy. A review of 52 cases. Int Surg. 1996;81:295–7.

    CAS  PubMed  Google Scholar 

  94. Corneille MG, Gallup TM, Bening T, et al. The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. Am J Surg. 2010;200:363–7.

    Article  PubMed  Google Scholar 

  95. Ueberrueck T, Koch A, Meyer L, et al. Ninety-four appendectomies for suspected acute appendicitis during pregnancy. World J Surg. 2004;28:508–11.

    Article  PubMed  Google Scholar 

  96. Buitrago G, Arevalo K, Moyano JS, Caycedo R, Gaitan H. Appendectomy in third trimester of pregnancy and birth outcomes: a propensity score analysis of a 6-year cohort study using administrative claims data. World J Surg. 2020;44:12–20.

    Article  PubMed  Google Scholar 

  97. Curet MJ, Allen D, Josloff RK, Pitcher DE, Curet LB, Miscall BG, et al. Laparoscopy during pregnancy. Arch Surg. 1996;131(5):546–50.

    Article  CAS  PubMed  Google Scholar 

  98. Fong ZV, Pitt HA, Strasberg SM, Molina RL, Perez NP, Kelleher CM, et al. Cholecystectomy during the third trimester of pregnancy: proceed or delay? J Am Coll Surg. 2019;228:494–502.e1.

    Article  PubMed  Google Scholar 

  99. Tham TC, Vandervoort J, Wong R, et al. Safety of ERCP during pregnancy. Am J Gastroenterol. 2003;98:308–11.

    Article  CAS  PubMed  Google Scholar 

  100. Othman MO, Stone E, Hashimi M, et al. Conservative management of cholelithiasis and its complications in pregnancy is associated with recurrent symptoms and more emergency department visits. Gastrointest Endosc. 2012;76:564–9.

    Article  PubMed  Google Scholar 

  101. Inamdar S, Berzin TM, Sejpal DV, Pleskow DK, Chuttani R, Sawhney MS, et al. Pregnancy is a risk factor for pancreatitis after endoscopic retrograde cholangiopancreatography in a National Cohort Study. Clin Gastroenterol Hepatol. 2016;14:107–14.

    Article  PubMed  Google Scholar 

  102. Barone JE, Bears S, Chen S, et al. Outcome study of cholecystectomy during pregnancy. Am J Surg. 1999;177:232–6.

    Article  CAS  PubMed  Google Scholar 

  103. https://www.sages.org/publications/guidelines/guidelines-for-diagnosis-treatment-and-use-of-laparoscopy-for-surgical-problems-during-pregnancy/.

  104. Friedman JD, Ramsey PS, Ramin K, et al. Pnuemoamnion and pregnancy loss after second trimester laparoscopic surgery. Obstet Gynecol. 2002;99:512–3.

    PubMed  Google Scholar 

  105. Ogura JM, Francois KE, Perlow JH, Elliott J. Complications associated with peripherally inserted central catheter use during pregnancy. Am J Obstet Gynecol. 2003;188:1223–5.

    Article  PubMed  Google Scholar 

  106. Date RS, Kaushal M, Ramesh A. A review of the management of gallstone disease and its complications in pregnancy. Am J Surg. 2008;196:599–608.

    Article  CAS  PubMed  Google Scholar 

  107. Wada K, Takada T, Hirata K, et al. Treatment strategy for acute pancreatitis. J Hepatobiliary Pancreat Sci. 2010;17:79–86.

    Article  PubMed  Google Scholar 

  108. Dave SP, Reis ED, Hossain A, Taub PJ, Kerstein MD, Hollier LH. Splenic artery aneurysm in the 1990s. Ann Vasc Surg. 2000;14(3):223–9.

    Article  CAS  PubMed  Google Scholar 

  109. Harma M, Harma MI, Karadeniz G, et al. Idiopathic ileoileal invagination two days after cesarean section. J Obstet Gynaecol Res. 2011;37:160–2.

    Article  PubMed  Google Scholar 

  110. Alshawi J. Recurrent sigmoid volvulus in pregnancy: report of a case and review of the literature. Dis Colon Rectum. 2005;48:1811–3.

    Article  PubMed  Google Scholar 

  111. Allen JR, Helling TS, Langenfeld M. Intraabdominal surgery during pregnancy. Am J Surg. 1989;158(6):567–9. 1988;43:123–31

    Article  CAS  PubMed  Google Scholar 

  112. Bosman WM, Veger HT, Hedeman Joosten PP, Ritchie E. Ileocaecal intussusception due to submucosal lipoma in a pregnant woman. BMJ Case Rep. 2014;2014:bcr2013203110.

    Article  PubMed  PubMed Central  Google Scholar 

  113. GAD R, Willis BA. Resuscitation in late pregnancy. Anaesthesia. 1988;43(5):347–9.

    Article  Google Scholar 

  114. Vanden Hoek TL, Morrison LJ, Shuster M, Donnino M, Sinz E, Lavonas EJ, et al. Part 12: cardiac arrest in special situations: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S829–61.

    Google Scholar 

  115. Lavery JP, Staten-McCormick M. Management of moderate to severe trauma in pregnancy. Obs Gynecol Clin North Am. 1995;22:69–90.

    Article  CAS  Google Scholar 

  116. Vivian-Taylor J, Roberts CL, Chen JS, Ford J. Motor vehicle accidents during pregnancy: a population-based study. BJOG. 2012;119:499–503.

    Article  CAS  PubMed  Google Scholar 

  117. Rogers FB, Rozycki GS, Osler T, et al. A multiinstitutional study of factors associated with fetal death in injured pregnant patients. Arch Surg. 1999;134:1274–7.

    Article  CAS  PubMed  Google Scholar 

  118. Buchsbaum HJ, Caruso P. Gunshot wound of the pregnant uterus. Case report of fetal injury, deglutition of missile, and survival. Obstet Gynecol. 1969;33:673–6.

    CAS  PubMed  Google Scholar 

  119. ACOG Educational Bulletin. Obstetric aspects of trauma management. Number 251, September 1998. Int J Gynaecol Obs. 1999;64:87–94.

    Google Scholar 

  120. Kobak AJ, Hurwitz C. Gunshot wounds of the pregnant uterus: review of the literature and two case reports. Obstet Gynecol. 1954;4:383–91.

    CAS  PubMed  Google Scholar 

  121. Fildes J, Reed L, Jones N, et al. Trauma: the leading cause of maternal death. J Trauma. 1992;32:643–5.

    Article  CAS  PubMed  Google Scholar 

  122. Pearlman MD, Tintinalli JE, Lorenz R. Blunt trauma during pregnancy. New Engl J Med. 1990;323:1609–13.

    Article  CAS  PubMed  Google Scholar 

  123. Srinarmwong C. Trauma during pregnancy: a review of 38 cases. Thai J Surg. 2007;28:138–42.

    Google Scholar 

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  1. Department of Surgery, University Hospital Centre Zagreb, School of Medicine University of Zagreb, Zagreb, Croatia

    Goran Augustin

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  1. General, Emergency and Trauma Surgery Dept., Pisa University Hospital, Pisa, Italy

    Federico Coccolini

  2. General and Emergency Surgery Dept., Bufalini Hospital, Cesena, Italy

    Fausto Catena

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Augustin, G. (2023). Non-Obstetric Abdominal Surgical Emergencies in Pregnancy and Puerperium. In: Coccolini, F., Catena, F. (eds) Textbook of Emergency General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-22599-4_89

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  • DOI: https://doi.org/10.1007/978-3-031-22599-4_89

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  • Online ISBN: 978-3-031-22599-4

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