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Chapter 77 - Acute Abdominal Pain in Pregnancy

from Section 13 - Miscellaneous Conditions

Published online by Cambridge University Press:  23 February 2023

Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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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.

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

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References

Suggested Readings

Deb, S, Hoo, P, Chilaka, V. Rectus sheath haematoma in pregnancy: a clinical challenge. J Obstet Gynaecol. 2006;26(8):822823.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):e325e328.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):13881390.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):517522.CrossRefGoogle ScholarPubMed
Valsky, DV, Daum, H, Yagel, S. Rectus sheath hematoma as a rare complication of genetic amniocentesis. J Ultrasound Med. 2007;26(3):371372.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):194195.CrossRefGoogle ScholarPubMed

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