بررسي 100 مورد شكم حاد جراحي در زنان باردار مراجعه كننده به مراكز آموزشي دانشگاه علوم پزشكي ايران

EVALUATION OF ACUTE ABDOMEN IN 100 PREGNANT WOMEN AT TEACHING CENTERS OF IRAN UNIVERSITY OF MEDICAL SCIENCES

The incidence of nonobstetrical acute abdomen during pregnancy is 0.2 to 2 percent. In spite of low incidence of Acute Abdomen in pregnancy, it is with high complications and mortality rate because differential diagnosis between obstetrical and nonobstetrical causes are difficult and often diagnosis and management are too late and inappropriate. This case series prospective study was done from 1995 to 2001 in teaching centers of Iran University of Medical Sciences. All of the pregnant women with diagnosis of Acute Surgical Abdomen entered in this study. The mean age of cases was 22.86 years(SD x-4.22 years) and mean number of previous pregnancies and previous live deliveries were 3.26 {SD +2.18) and 2.37 (SD+0.99) respectively. Most of cases were in second trimester of pregnancy and the most common synptom was abdominal pain and the most common sign was abdominal tenderness. The most common cause of Acute Abdomen was Ectopic pregnancy(%62) and then Ruptured ovarian cyst(%27), hemorrhagic ovarian cyst (0/010) and acute appendicitis(%1). Fortunately there was no mortality in this study. In conclusion, acute abdomen during pregnancy can be risky. Thus, appropriate & quick diagnosis is highly important in its prognosis and result.