Can you find the source of her pain?

Cichowski S, Sara Cichowski
Obstetrics and gynecology · 2006 · vol. 108(5) , pp. 1229–30, 1300 · doi:10.1097/01.aog.0000244100.48449.d8 · PMID:17077248
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⚙ AI-generated summary by qwen3.7-flash, 2026-08-17 ⓘ

A 40-year-old pregnant woman’s abdominal pain was ultimately attributed to a common gynecologic problem identified during cesarean delivery, highlighting the importance of considering this diagnosis in pregnant patients with pain.

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⚙ AI-generated deep summary by qwen3.7-flash, 2026-08-15 · read from full text ⓘ

This case report describes a 40-year-old pregnant woman at thirty weeks gestation who presented with abdominal pain that initially mimicked more common obstetric conditions such as preterm labor or appendicitis. The underlying cause of her symptoms remained undiagnosed until she underwent a cesarean delivery several days after admission. The authors conclude that this gynecologic issue can lead to severe complications in pregnancy and should be included in the differential diagnosis for pregnant patients presenting with abdominal pain. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

BACKGROUND: The features of abdominal pain in this gravid patient mimicked more common diagnoses like preterm labor, chorioamnionitis, and appendicitis. CASE: A 40-year-old multipara presented at 30 weeks and 6 days with abdominal pain. The cause was not discovered until the time of cesarean delivery several days after admission. CONCLUSION: This common gynecologic problem can precipitate severe problems in a pregnant woman and should be considered part of the diagnosis in pregnant patients presenting with pain.
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Background

The features of abdominal pain in this gravid patient mimicked more common diagnoses like preterm labor, chorioamnionitis, and appendicitis. CASE: A 40-year-old multipara presented at 30 weeks and 6 days with abdominal pain. The cause was not discovered until the time of cesarean delivery several days after admission.

Conclusion

This common gynecologic problem can precipitate severe problems in a pregnant woman and should be considered part of the diagnosis in pregnant patients presenting with pain. Copyright © 2006 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.

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MeSH descriptors

Abdominal Pain Endometriosis Abdominal Pain Adult Cesarean Section Chorioamnionitis Chorioamnionitis Diagnosis, Differential Endometriosis Endometriosis Female Humans Male Postoperative Complications Pregnancy Rupture, Spontaneous Rupture, Spontaneous

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