Dilemma

Female Reproductive System & Breast


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This lady has presented with an acute abdomen in the second trimester of pregnancy - a clinical scenario which may be due to surgical, gynecological or obstetric causes.\n\nLikely surgical causes include acute appendicitis (while this typically causes pain in the right lower quadrant, the gravid uterus may displace the appendix upwards, giving rise to pain at a higher level); renal colic and urinary tract infections (as the ureters become dilated during pregnancy, causing urinary stasis and a predisposition towards calculus formation and infection).\n\nLikely gynecological causes include ovarian torsion (as the ovaries enlarge during pregnancy); stretching of the round ligament (due to uterine enlargement); and red degeneration of a fibroid (wh"}]}

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