Hyperemesis gravidarum – a diagnosis of exclusion. Clinical case

Abstract

This article presents the rationale for the diagnosis of hyperemesis gravidarum, as well as the symptom of vomiting as a manifestation of many extragenital diseases. The materials reflect current understanding of the etiology of the disease. Particular attention is paid to an interdisciplinary approach to diagnosis and appropriate treatment. Hyperemesis gravidarum is a diagnosis of exclusion, the diagnosis of which requires a thorough anamnesis and laboratory and instrumental studies according to a clear algorithm. The clinical case presented in the article clearly demonstrates that vomiting during pregnancy can not only be an adaptive response to pregnancy but also a symptom of other diseases, in particular, tumors of the abdominal organs. The coordinated work of obstetricians and gynecologists in collaboration with specialists in related fields allowed the patient to receive timely qualified care.