Muhammad Shahid Mehmood, Syed Asghar Naqi, Khalid Masood Gondal.
Determinants of Gynaecological Emergencies at Surgical Floor of Mayo Hospital, Lahore.
Pak J Med Health Sci Jan ;6(3):528-31.

Objectives: To determine the frequency and types of gynecological emergencies coming to surgical floor and to identify the clinical features which help to differentiate between gynecological and surgical causes of acute abdomen. Study design: Descriptive case series Place and duration of study: Surgical Emergency, Mayo Hospital, Lahore. Six months from 1st August 2008 to 31st January 2009. Subjects and method: One hundred female patients with different gynecological emergencies having different clinical features admitted in Surgical Wards. Results: Out of hundred patients there were 46% patients having generalized abdominal pain, 8% lower abdominal pain and right iliac fossa pain in 46%. Nausea in 79% patients, vomiting 74%, anorexia 77%, absolute constipation 7% and relative constipation 8% and fever in 22%. Tachycardia was present in 91%, abdominal distension 48%, vaginal discharge 24% and mass abdomen 7%. The mean age was 23.60±6.53 years. The frequency of gynecological emergencies was as pelvic inflammatory disease 9%, ruptured ectopic pregnancy 7%, unilateral ovarian cyst with inflamed appendix 15%, ruptured ovarian cyst with inflamed appendix 28%, adnexal torsion 4%, peritonitis with uterine and intestinal perforation 20%, with uterine perforation only 9%, Post C-section peritonitis 6% and ovarian mass 2%. Conclusion: This study provides a concise review focusing on improving clinical assessment and early diagnosis of gynecological emergencies for better management in female patients with acute abdominal symptoms.

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