Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-27T20:25:33.569Z Has data issue: false hasContentIssue false

Chapter 77 - Acute Abdominal Pain in Pregnancy

from Section 13 - Miscellaneous Conditions

Published online by Cambridge University Press:  23 February 2023

By
Vincent Ponette  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
Get access

Summary

During your call duty, a 37-year-old obese G2P1 patient presents to your hospital center’s obstetric emergency assessment unit at 33+3 weeks’ gestation with pain and bruising in the lower aspect of the mid-abdomen. She holds her lower abdomen for support in between bouts of a residual dry cough after completion of antibiotic treatment for community-acquired pneumonia. Pregnancy has otherwise been unremarkable, and she has been compliant with prenatal care. She does not have vaginal bleeding or fluid loss. Two years ago, she had a Cesarean section for term breech presentation.

Keywords

Acute abdominal pain, pregnancyDifferential diagnosisPhysical examinationRectal sheath hematoma, sonography, risk factors, maternal-fetal management, pathophysiology, obstetric delivery considerations
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 971 - 977
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Suggested Readings

Deb, S, Hoo, P, Chilaka, V. Rectus sheath haematoma in pregnancy: a clinical challenge. J Obstet Gynaecol. 2006;26(8):822–823.CrossRefGoogle ScholarPubMed
Eckhoff, K, Wedel, T, Both, M, et al. Spontaneous rectus sheath hematoma in pregnancy and a systematic anatomical workup of rectus sheath hematoma: a case report. J Med Case Rep. 2016;10(1):292.CrossRefGoogle Scholar
Gibbs, J, Bridges, F, Trivedi, K, et al. Spontaneous rectus sheath hematoma in pregnancy complicated by the development of transfusion related acute lung injury: a case report and review of the literature. AJP Rep. 2016;6(3):e325–e328.Google ScholarPubMed
Machado-Gédéon, A, Mitric, C, Ponette, V, et al. Spontaneous rectus sheath hematoma in pregnancy: a case report. J Obstet Gynaecol Can. 2020;42(11):1388–1390.CrossRefGoogle ScholarPubMed
Tolcher, MC, Nitsche, JF, Arendt, KW, et al. Spontaneous rectus sheath hematoma pregnancy: case report and review of the literature. Obstet Gynecol Surv. 2010;65(8):517–522.CrossRefGoogle ScholarPubMed
Valsky, DV, Daum, H, Yagel, S. Rectus sheath hematoma as a rare complication of genetic amniocentesis. J Ultrasound Med. 2007;26(3):371–372.CrossRefGoogle ScholarPubMed
Wai, C, Bhatia, K, Clegg, I. Rectus sheath haematoma: a rare cause of abdominal pain in pregnancy. Int J Obstet Anesth. 2015;24(2):194–195.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×