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The authors describe various anatomic and physiological changes occurring during 
pregnancy, which should be considered when
making diagnosis and planning proper treatment of acute abdomen in pregnant women. After surveying acute gynecological diseases in 
pregnancy, the authors discuss extraperitoneal 
and pseudoperitoneal reasons for acute abdomen, and present real surgical disorders in
 pregnancy. They outline the incidence, symptoms and diagnosis of acute abdomen, as well 
as the guidelines for therapy based on the
 literature data and own experience.