The most common symptom of familial Mediterranean fever (FMF) is abdominal pain; It is an autosomal recessive disease characterized by recurrent, self-limiting, short episodes of serositis. The underlying clinical and pathological appearance is compatible with acute peritonitis. These abdominal findings sometimes become so conspicuous that they mimic acute abdomen, suggesting some gastrointestinal, gynecological and urological diagnoses. Diagnosing acute abdomen during pregnancy is one of the most difficult situations, depending on the physiological consequences of pregnancy and non-specific laboratory parameters. There are limited studies of AAA in pregnancy and none of them mentioned the diagnostic difficulty of AAA during pregnancy because all of them were diagnosed with AAA before pregnancy. In this article, we discussed the difficulties in diagnosing AAA during pregnancy, which complicates a twin pregnancy by mimicking acute abdomen after amniocentesis in a 20-year-old patient with gravida 1, parity 0, and the complications that occur in this diagnostic process.
Familial Mediterranean Fever (FMF) is an autosomal recessive disease which is characterized by recurrent, self-limiting, short attacks of serositis while abdominal pain is the most common symptom . The underlying clinical and pathological picture is that of acute peritonitis. These abdominal signs are often so striking that they mimic an acute abdominal calamity suggesting several possible gastrointestinal, gynecologic or urologic diagnoses. Diagnosis of acute abdomen in pregnancy also remains one of the most challenging conditions as the physiological consequence of pregnancy and nonspecific laboratory parameters. A limited number of studies addressed FMF in pregnancy and none of them mentioned the diagnostic challenging of FMF during pregnancy because the patients had al been diagnosed previously. In this paper , we discussed a 20 year old, gravida 1, parity 0 patient whose twin pregnancy wash complicated by an acute abdominal condition after amniocentesis and the difficulties of making the diagnosis of FMF with the complications during this diagnostic period in pregnancy.