Monday, December 7, 2020

Non-Obstetric Abdominal Pain

emDocs - December 06, 2020 - By  Marina Boushra
Reviewed by: Alex Koyfman and Brit Long
"Key Takeaways:
  • Abdominal pain is a common complaint in pregnancy and abdominal pathology in pregnant patients may arise from both obstetric and non-obstetric causes.
  • Delayed diagnosis of common conditions in pregnant patients results in significant morbidity in this high-risk group compared to their peers.
  • The tenets of diagnosis and management are the same in pregnant and non-pregnant patients.
  • CT is still extremely useful as a diagnostic modality in pregnancy and should not be withheld from pregnant patients if indicated. A conversation with the patient regarding the limited associated risk of radiation should be undertaken and shared decision making regarding how to proceed should be discussed.
  • An understanding of the anatomic and physiologic changes associated with pregnancy and how they affect patient presentation is paramount to timely diagnosis and management in these patients. A multi-disciplinary team-based approach to these patients can help in the diagnosis and ideal treatment of this vulnerable patient population."