title: Diagnostic challenge of abdominal pain in late pregnancy--a case of adnexal torsion.
abstract: Clinical evaluation of pregnant patients with abdominal pain can be confusing, because the examination is usually hampered by the anatomical displacement of abdominal organs by the gravid uterus, and difficulty in localisation of pain. Delayed surgical intervention could result in increased maternal morbidity and poor fetal outcome. We report on a case of recurring acute abdominal pain in pregnancy, which led to diagnostic difficulties and resulted in a diagnostic laparotomy and caesarean delivery.
authors.affiliation: Medical Research Council/University of Natal Pregnancy Hypertension Research Unit and Department of Obstetrics and Gynaecology, Nelson R. Mandela School of Medicine, University of Natal, Durban.
authors.forename: I
authors.initials: I
authors.lastname: Popov
authors.forename: J
authors.initials: J
authors.lastname: Moodley
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D000291:Adnexal Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011263:Pregnancy Trimester, Third