一名41岁孕妇在妊娠36周3天因持续腹痛15小时就诊。疼痛位于右下腹，呈持续性锐痛。产科就诊。胎儿头位，其生物物理评分为8/8（表明胎儿健康状况正常），胎儿心率次/分钟。胎盘位于前方，宫颈长度为21mm，脐动脉正常。患者被转至急诊，诉腹痛持续并且出现恶心。体格检查：心率正常，血液动力学稳定。妊娠导致腹腔疾病临床表现隐匿，所以孕期腹痛的鉴别诊断与评估很复杂。阑尾炎和胆道并发症是妊娠期间手术干预的最常见指征，因此在鉴别诊断上最多见。该患者右下腹疼痛，85％患阑尾炎的孕妇出现此类疼痛。影像学结果与急性阑尾炎一致。孕期阑尾炎的紧急治疗至关重要。
A41-year-oldpregnantwomanpresentedtothehospitalat36weeks3daysofgestationwithabdominalpainof15hoursduration.Thepainwasintherightlowerquadrantandwasdescribedassharpandconstant.Shepresentedtotheobstetricsclinic.Thefetuswasincephalicpresentation,withabiophysicalprofilescoreof8/8(indicatingnormalfetalwell-being)andafetalheartrateofbeatsperminute.Theplacentawaspositionedanteriorly,thecervicallengthwas21mm,andtheumbilicalarteryappearednormal.Thepatientwasreferredtotheemergencydepartmentwhereshereportedthattheabdominalpainpersistedandthatnauseahaddeveloped.Onexamination,thepatienthadnormalheartrateandherhemodynamicstable.Thedifferentialdiagnosisandevaluationofabdominalpainduringpregnancycanbe