A complex case of acute abdomen
Abstract Introduction Acute abdomen during early pregnancy poses a diagnostic challenge, especially in patients with underlying chronic gastrointestinal diseases. Case report A 36-year-old woman with Crohn’s disease and a confirmed 6-week intrauterine pregnancy presented with diffuse abdominal pain....
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| Format: | Article |
| Language: | English |
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BMC
2025-08-01
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| Series: | International Journal of Emergency Medicine |
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| Online Access: | https://doi.org/10.1186/s12245-025-00954-9 |
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| _version_ | 1849344819421249536 |
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| author | Mohammed Khalid Alageel |
| author_facet | Mohammed Khalid Alageel |
| author_sort | Mohammed Khalid Alageel |
| collection | DOAJ |
| description | Abstract Introduction Acute abdomen during early pregnancy poses a diagnostic challenge, especially in patients with underlying chronic gastrointestinal diseases. Case report A 36-year-old woman with Crohn’s disease and a confirmed 6-week intrauterine pregnancy presented with diffuse abdominal pain. Initial investigations, including MRI and ultrasound, were inconclusive. Diagnostic laparoscopy revealed malrotation of the large bowel and a perforated appendix, which was successfully managed with appendectomy and lavage. Conclusion This case highlights the diagnostic complexity of abdominal pain in early pregnancy, particularly in patients with Crohn’s disease and anatomic variations such as intestinal malrotation. |
| format | Article |
| id | doaj-art-be1f709a22f147a9a0faff06a38fcff3 |
| institution | Kabale University |
| issn | 1865-1380 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj-art-be1f709a22f147a9a0faff06a38fcff32025-08-20T03:42:34ZengBMCInternational Journal of Emergency Medicine1865-13802025-08-011811410.1186/s12245-025-00954-9A complex case of acute abdomenMohammed Khalid Alageel0Department of Emergency Medicine and Critical care, College of Medicine, King Saud UniversityAbstract Introduction Acute abdomen during early pregnancy poses a diagnostic challenge, especially in patients with underlying chronic gastrointestinal diseases. Case report A 36-year-old woman with Crohn’s disease and a confirmed 6-week intrauterine pregnancy presented with diffuse abdominal pain. Initial investigations, including MRI and ultrasound, were inconclusive. Diagnostic laparoscopy revealed malrotation of the large bowel and a perforated appendix, which was successfully managed with appendectomy and lavage. Conclusion This case highlights the diagnostic complexity of abdominal pain in early pregnancy, particularly in patients with Crohn’s disease and anatomic variations such as intestinal malrotation.https://doi.org/10.1186/s12245-025-00954-9AppendectomyIntestinal malrotationLeft-sided appendicitisPregnancyInflammatory bowel diseasesUstekinumab |
| spellingShingle | Mohammed Khalid Alageel A complex case of acute abdomen International Journal of Emergency Medicine Appendectomy Intestinal malrotation Left-sided appendicitis Pregnancy Inflammatory bowel diseases Ustekinumab |
| title | A complex case of acute abdomen |
| title_full | A complex case of acute abdomen |
| title_fullStr | A complex case of acute abdomen |
| title_full_unstemmed | A complex case of acute abdomen |
| title_short | A complex case of acute abdomen |
| title_sort | complex case of acute abdomen |
| topic | Appendectomy Intestinal malrotation Left-sided appendicitis Pregnancy Inflammatory bowel diseases Ustekinumab |
| url | https://doi.org/10.1186/s12245-025-00954-9 |
| work_keys_str_mv | AT mohammedkhalidalageel acomplexcaseofacuteabdomen AT mohammedkhalidalageel complexcaseofacuteabdomen |