Published on 10/04/2015 by admin

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Last modified 10/04/2015

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CHAPTER 22 Gynaecology

Between 10% and 20% of patients admitted with acute abdominal pain have a gynaecological cause. It is therefore important for the surgeon to be able to distinguish between surgical causes and gynaecological causes of acute abdominal pain. Gynaecological conditions which may be admitted as surgical emergencies include ectopic pregnancy, ovarian cyst (torsion or rupture), salpingitis, dysmenorrhoea, endometriosis, Mittelschmerz and complications of fibroids. Ruptured ectopic pregnancy is a life-threatening condition and requires urgent gynaecological referral.