GI and Liver Disease During Pregnancy: A Practical Approach

Kim L Isaacs, MD PhD; Millie D Long, MD MPH

Chapter 4: Abdominal Pain In Pregnancy (continued)

Millie D. Long, MD, MPH

Differential Diagnosis and Initial Work-Up of Abdominal Pain While many of the principles of diagnosing and treating a woman with abdominal pain do not change due to pregnancy, the prevalence of several important causes of abdominal pain can be affected by the pregnancy itself. While the differential diagnosis of abdominal pain can be similar regardless of pregnancy, the risk/benefit ratio of certain diagnostic tests can change. Therefore, the work-up of abdominal pain in a pregnant woman includes a delicate balance. However, concern about the possible fetal effects of radiation should not…