Appendicitis in pregnancy
نویسندگان
چکیده
Objective: To highlight the problems related to acute appendicitis in pregnancy; difficulty in diagnosis; risk of appendiceal perforation and to lay down the principles of management. Methods: All pregnant patients with diagnosis of acute appendicitis from January 1997 to December 2001 at Shifa International Hospital, Islamabad, Pakistan were reviewed retrospectively. Result: There were 3812 deliveries during this period. Eleven had acute appendicitis. The age of these patients ranged from 17 to 44 years. Most of the 11 affected patients were in third trimester of pregnancy (n = 07), followed by second and first trimester (n = 02 each). Nausea and vomiting were the most common complaints experienced (81%), pain in right iliac fossa and right hypochondrium in three (27%) and fever in 2 (18%) patients. All underwent laparotomy, with ten (91%) positive and one (9%) negative appendix. Perforation was encountered in two patients (18%). No maternal or fetal loss was noted. Conclusion: Nausea, vomiting and abdominal pain were commonest presenting symptoms in our patients. Two had perforated appendix. Early surgical intervention resulted in safe maternal and fetal
منابع مشابه
Accuracy of ultrasonography in diagnosing acute appendicitis during pregnancy based on surgical findings
Background: Acute appendicitis is the most common nonobstetric surgical problem in pregnancy. Common signs and symptoms of appendicitis are less reliable during pregnancy due to physiological changes; thus, the role of imaging becomes prominent. Thus, in the present study, we aimed at assessing the accuracy of sonography in diagnosing acute appendicitis during pregnancy. Methods: ...
متن کاملAppendicitis in pregnancy.
BACKGROUND Our urban practice had two incidences of documented appendicitis in pregnancy in a 24-hour period with two unique outcomes that prompted an inquiry. Appendicitis in pregnancy is relatively rare, but it has significant morbidity and is a cause of maternal and infant mortality. Abdominal pain is the most common presenting symptom, and the consideration of multiple pathologic disorders ...
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متن کاملAppendicitis during pregnancy.
QUESTION A 26-year-old patient in our clinic, who was 18 weeks pregnant at the time, experienced acute abdominal pain and was diagnosed with appendicitis. The inflamed appendix was successfully removed. Is her pregnancy at risk? ANSWER Appendicitis is not rare during pregnancy and is associated with increased reproductive risk. Women who have undergone appendectomy during pregnancy are at hig...
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