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Obstetrics-Gynecology Emergencies

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Acute Care Surgery Handbook

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Abstract

This chapter’s main objective is to assist the acute care surgeon in clearing his thoughts when confronted with an acute abdomen on a female patient and, therefore, facilitate diagnostic and emergency care management. It is paramount that the acute care surgeon finds himself prepared for different kinds of emergency scenarios including those involving obstetrics and gynecology (OB/GYN) situations. In such setting, it is important to first recognize the chief complaints that motivated the patient to call for emergency assistance, as many other diagnoses different than OB/GYN causes could appear. Figure 13.1 shows the most common differential diagnosis for acute abdominal pain on a female patient.

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References

  1. Caserta D, Toro G, Porretta M, Mancini E, Moscarini M. Hysteroscopic vs histologic diagnosis. Study of 222 cases of abnormal uterine hemorrhage. Minerva Ginecol. 1999;51(5):169–72.

    CAS  PubMed  Google Scholar 

  2. Chen YT, Xu LF, Sun HL, Li HQ, Hu RM, Tan QY. Clinical efficacy and safety of uterine artery chemoembolization in abnormal placental implantation complicated with postpartum hemorrhage. Zhonghua Fu Chan Ke Za Zhi. 2010;45(4):273–7.

    PubMed  Google Scholar 

  3. Mirza FG, Gaddipati S. Obstetric emergencies. Semin Perinatol. 2009;33(2):97–103.

    Article  PubMed  Google Scholar 

  4. Roth CK, Parfitt SE, Hering SL, Dent SA. Developing protocols for obstetric emergencies. Nurs Womens Health. 2014;18(5):378–90.

    Article  PubMed  Google Scholar 

  5. Green M, Rider C, Ratcliff D, Woodring BC. Developing a aystematic approach to obstetric emergencies. J Obstet Gynecol Neonatal Nurs JOGNN/NAACOG. 2015;44(5):677–82.

    Article  Google Scholar 

  6. Sokol E, Peddinti R. Causes and diagnosis of abnormal vaginal bleeding. Pediatr Ann. 2015;44(7):e164–7.

    Article  PubMed  Google Scholar 

  7. Taran FA, Kagan KO, Hubner M, Hoopmann M, Wallwiener D, Brucker S. The diagnosis and treatment of ectopic pregnancy. Dtsch Arztebl Int. 2015;112(41):693–704.

    PubMed  PubMed Central  Google Scholar 

  8. Hoefgen HR, Merritt DF. Rope swing injuries resulting in vulvar trauma. J Pediatr Adolesc Gynecol. 2015;28(1):e13–5.

    Article  PubMed  Google Scholar 

  9. Walsh K, Latzman NE, Latzman RD. Pathway from child sexual and physical abuse to risky sex among emerging adults: the role of trauma-related intrusions and alcohol problems. J Adolesc Health Off publ Soc Adolesc Med. 2014;54(4):442–8.

    Article  Google Scholar 

  10. Subcommittee A, American College of Surgeons’ Committee on T, International Awg. Advanced trauma life support (ATLS(R)): the ninth edition. J Trauma Acute Care Surg. 2013;74(5):1363–6.

    Google Scholar 

  11. Mourad L. Tile classification of pelvic disruption. Orthop Nurs. 1997;16(3):34.

    Article  CAS  PubMed  Google Scholar 

  12. Osterhoff G, Scheyerer MJ, Fritz Y, Bouaicha S, Wanner GA, Simmen HP, et al. Comparing the predictive value of the pelvic ring injury classification systems by Tile and by Young and Burgess. Injury. 2014;45(4):742–7.

    Article  PubMed  Google Scholar 

  13. Daponte A, Khan N, Smith MD, Degiannis E. Trauma in pregnancy. S Afr J Surg Suid-Afrikaanse tydskrif vir chirurgie. 2003;41(2):51–4; discussion 5.

    PubMed  Google Scholar 

  14. Shah AJ, Kilcline BA. Trauma in pregnancy. Emerg Med Clin North Am. 2003;21(3):615–29.

    Article  PubMed  Google Scholar 

  15. Battaloglu E, McDonnell D, Chu J, Lecky F, Porter SK. Epidemiology and outcomes of pregnancy and obstetric complications in trauma in the United Kingdom. Injury. 2016;47(1):184–7.

    Article  PubMed  Google Scholar 

  16. Cheng HT, Wang YC, Lo HC, Su LT, Lin CH, Sung FC, et al. Trauma during pregnancy: a population-based analysis of maternal outcome. World J Surg. 2012;36(12):2767–75.

    Article  PubMed  Google Scholar 

  17. El-Kady D, Gilbert WM, Anderson J, Danielsen B, Towner D, Smith LH. Trauma during pregnancy: an analysis of maternal and fetal outcomes in a large population. Am J Obstet Gynecol. 2004;190(6):1661–8.

    Article  PubMed  Google Scholar 

  18. Khales A, Achbouk A, Siah S, Ihrai H. Burns and pregnancy: report on two cases and review of the literature. Ann Burns Fire Disasters. 2010;23(2):72–4.

    CAS  PubMed  PubMed Central  Google Scholar 

  19. Maghsoudi H, Samnia R, Garadaghi A, Kianvar H. Burns in pregnancy. Burns J Int Soc Burn Inj. 2006;32(2):246–50.

    Article  Google Scholar 

  20. Parikh P, Sunesara I, Lutz E, Kolb J, Sawardecker S, Martin Jr JN. Burns during pregnancy: implications for maternal-perinatal providers and guidelines for practice. Obstet Gynecol Surv. 2015;70(10):633–43.

    Article  PubMed  Google Scholar 

  21. Subrahmanyam M. Burns during pregnancy - effect on maternal and foetal outcomes. Ann Burns Fire Disasters. 2006;19(4):177–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  22. Brewin D, Naninni A. Women’s perspectives on falls and fall prevention during pregnancy. MCN Am J Matern Child Nurs. 2014;39(5):300–5.

    Article  PubMed  Google Scholar 

  23. Inanir A, Cakmak B, Hisim Y, Demirturk F. Evaluation of postural equilibrium and fall risk during pregnancy. Gait Posture. 2014;39(4):1122–5.

    Article  PubMed  Google Scholar 

  24. Ozturk G, Geler Kulcu D, Aydog E, Kaspar C, Ugurel B. Effects of lower back pain on postural equilibrium and fall risk during the third trimester of pregnancy. J Matern Fetal Neonatal Med Off J Eur Assoc Perinat Med Fed Asia Oceania Perinat Soc Int Soc Perinat Obstet. 2015;26:1–5.

    Google Scholar 

  25. Sisay Woldeyes W, Amenu D, Segni H. Uterine rupture in pregnancy following fall from a motorcycle: a horrid accident in pregnancy-a case report and review of the literature. Case Rep Obstet Gynecol. 2015;2015:715180.

    PubMed  PubMed Central  Google Scholar 

  26. Arslantas H, Adana F, Ergin F, Gey N, Bicer N, Kiransal N. Domestic violence during pregnancy in an eastern city of Turkey: a field study. J Interpers Violence. 2012;27(7):1293–313.

    Article  PubMed  Google Scholar 

  27. Finnbogadottir H, Dykes AK, Wann-Hansson C. Prevalence of domestic violence during pregnancy and related risk factors: a cross-sectional study in southern Sweden. BMC Womens Health. 2014;14:63.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Gharacheh M, Azadi S, Mohammadi N, Montazeri S, Khalajinia Z. Domestic violence during pregnancy and women’s health-related quality of life. Glob J Health Sci. 2015;8(2):46251.

    Article  Google Scholar 

  29. Mahapatro M, Gupta RN, Gupta V, Kundu AS. Domestic violence during pregnancy in India. J Interpers Violence. 2011;26(15):2973–90.

    Article  PubMed  Google Scholar 

  30. Wokoma TT, Jampala M, Bexhell H, Guthrie K, Lindow S. A comparative study of the prevalence of domestic violence in women requesting a termination of pregnancy and those attending the antenatal clinic. BJOG Int J Obstet Gynaecol. 2014;121(5):627–33.

    Article  CAS  Google Scholar 

  31. Fernandes TM, Dorigatti AE, Pereira BM, Cruvinel Neto J, Zago TM, Fraga GP. Nonoperative management of splenic injury grade IV is safe using rigid protocol. Rev Col Bras Cir. 2013;40(4):323–9.

    Article  PubMed  Google Scholar 

  32. Pereira BM. Non-operative management of hepatic trauma and the interventional radiology: an update review. Indian J Surg. 2013;75(5):339–45.

    Article  PubMed  Google Scholar 

  33. Zago TM, Pereira BM, Nascimento B, Alves MS, Calderan TR, Fraga GP. Hepatic trauma: a 21-year experience. Rev Col Bras Cir. 2013;40(4):318–22.

    Article  PubMed  Google Scholar 

  34. Jorge AM, Keswani RN, Veerappan A, Soper NJ, Gawron AJ. Non-operative management of symptomatic cholelithiasis in pregnancy is associated with frequent hospitalizations. J Gastrointest Surg Off J Soc Surg Aliment Tract. 2015;19(4):598–603.

    Article  Google Scholar 

  35. Weiss HB, Songer TJ, Fabio A. Fetal deaths related to maternal injury. JAMA. 2001;286(15):1863–8.

    Article  CAS  PubMed  Google Scholar 

  36. Pereira BM, de Campos CC, Calderan TR, Reis LO, Fraga GP. Bladder injuries after external trauma: 20 years experience report in a population-based cross-sectional view. World J Urol. 2013;31(4):913–7.

    Article  PubMed  Google Scholar 

  37. Pereira BM, Reis LO, Calderan TR, de Campos CC, Fraga GP. Penetrating bladder trauma: a high risk factor for associated rectal injury. Adv Urol. 2014;2014:386280.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Kuczkowski KM. Trauma in the pregnant patient. Curr Opin Anaesthesiol. 2004;17(2):145–50.

    Article  PubMed  Google Scholar 

  39. Atkinson AL, Santolaya-Forgas J, Blitzer DN, Santolaya JL, Matta P, Canterino J, et al. Risk factors for perinatal mortality in patients admitted to the hospital with the diagnosis of placental abruption. J Matern Fetal Neonatal Med Off J Eur Assoc Perinat Med Fed Asia and Oceania Perinat Soc Int Soc Perinat Obstet. 2015;28(5):594–7.

    Google Scholar 

  40. Atkinson AL, Santolaya-Forgas J, Matta P, Canterino J, Oyelese Y. The sensitivity of the Kleihauer-Betke test for placental abruption. J Obstet Gynaecol J Inst Obstet Gynaecol. 2015;35(2):139–41.

    Article  CAS  Google Scholar 

  41. Aronsohn J, Danzer B, Overdyk F, Roseman A. Perimortem cesarean delivery in a pregnant patient with goiter, preeclampsia, and morbid obesity. A A Case Rep. 2015;4(4):41–3.

    Article  PubMed  Google Scholar 

  42. Katz VL. Perimortem cesarean delivery: its role in maternal mortality. Semin Perinatol. 2012;36(1):68–72.

    Article  PubMed  Google Scholar 

  43. Yildirim C, Goksu S, Kocoglu H, Gocmen A, Akdogan M, Gunay N. Perimortem cesarean delivery following severe maternal penetrating injury. Yonsei Med J. 2004;45(3):561–3.

    Article  PubMed  Google Scholar 

  44. Birgisson NE, Zhao Q, Secura GM, Madden T, Peipert JF. Positive testing for Neisseria gonorrhoeae and Chlamydia trachomatis and the risk of pelvic inflammatory disease in IUD users. J Womens Health. 2015;24(5):354–9.

    Article  Google Scholar 

  45. Brunham RC, Gottlieb SL, Paavonen J. Pelvic inflammatory disease. N Engl J Med. 2015;372(21):2039–48.

    Article  PubMed  Google Scholar 

  46. Cho HW, Koo YJ, Min KJ, Hong JH, Lee JK. Pelvic inflammatory disease in virgin women with tubo-ovarian abscess: a single-center experience and literature review. J Pediatr Adolesc Gynecol. 2015. [Epub ahead of print].

    Google Scholar 

  47. Crum-Cianflone NF. Pelvic inflammatory disease. N Engl J Med. 2015;373(7):686.

    Article  PubMed  Google Scholar 

  48. Duarte R, Fuhrich D, Ross JD. A review of antibiotic therapy for pelvic inflammatory disease. Int J Antimicrob Agents. 2015;46(3):272–7.

    Article  CAS  PubMed  Google Scholar 

  49. Fujishita A, Araki H, Yoshida S, Hamaguchi D, Nakayama D, Tsuda N, et al. Outcome of conservative laparoscopic surgery for adnexal torsion through one-stage or two-stage operation. J Obstet Gynaecol Res. 2015;41(3):411–7.

    Article  PubMed  Google Scholar 

  50. Kim HY, Yang JI, Moon C. Comparison of severe pelvic inflammatory disease, pyosalpinx and tubo-ovarian abscess. J Obstet Gynaecol Res. 2015;41(5):742–6.

    Article  CAS  PubMed  Google Scholar 

  51. Kim JS, Kim HC, Kim SW, Yang DM, Rhee SJ, Shin JS. Does the degree of perihepatitis have any relevance to the severity of the manifestations of pelvic inflammatory disease on multidetector computed tomography? J Comput Assist Tomogr. 2015;39(6):901–6.

    Article  PubMed  Google Scholar 

  52. Oliphant J, Azariah S. Pelvic inflammatory disease associated with Chlamydia trachomatis but not Mycoplasma genitalium in New Zealand. Sex Health. 2016;13(1):43–8.

    Google Scholar 

  53. Patil AR, Nandikoor S, Rao A, MJ G, Kheda A, Hari M, et al. Multimodality imaging in adnexal torsion. J Med Imaging Radiat Oncol. 2015;59(1):7–19.

    Article  PubMed  Google Scholar 

  54. Spinelli C, Piscioneri J, Strambi S. Adnexal torsion in adolescents: update and review of the literature. Curr Opin Obstet Gynecol. 2015;27(5):320–5.

    Article  PubMed  Google Scholar 

  55. Yaakov O, Zohav E, Kapustian V, Gdalevich M, Volodarsky M, Anteby EY, et al. Are ultrasonographic findings suggestive of ovarian stromal edema associated with ischemic adnexal torsion? Gynecol Obstet Invest. 2016;81(3):262–6.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Trauma Surgery, Department of Surgery, School of Medical Sciences, University of Campinas, Campinas, SP, Brazil

    Bruno M. Pereira MD, MHSc, PhD & Gustavo P. Fraga MD, PhD

Authors
  1. Bruno M. Pereira MD, MHSc, PhD
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  2. Gustavo P. Fraga MD, PhD
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Corresponding author

Correspondence to Gustavo P. Fraga MD, PhD .

Editor information

Editors and Affiliations

  1. Emergency and Trauma Surgery Service, C.A. Pizzardi Maggiore Hospital AUSL Bologna, Bologna, Italy

    Salomone Di Saverio

  2. Emergency and Trauma Surgery, Maggiore Hospital of Parma, Parma, Italy

    Fausto Catena

  3. General, Emergency and Trauma Surgery Papa Giovanni XXIII Hospital, Bergamo, Italy

    Luca Ansaloni

  4. General, Emergency and Trauma Surgery Papa Giovanni XXIII Hospital, Bergamo, Italy

    Federico Coccolini

  5. Trauma, Emergency Medicine Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA

    George Velmahos

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Pereira, B.M., Fraga, G.P. (2017). Obstetrics-Gynecology Emergencies. In: Di Saverio, S., Catena, F., Ansaloni, L., Coccolini, F., Velmahos, G. (eds) Acute Care Surgery Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-15341-4_13

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  • DOI: https://doi.org/10.1007/978-3-319-15341-4_13

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