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[Appendicitis and pregnancy: 21 cases].

R Lebeau1, B Diané, E Koffi

  • 1Service de Chirurgie Générale et Digestive, CHU de Bouaké, BP 139, Abidjan 22, côte-d'Ivoire.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|October 7, 2005
PubMed
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Diagnosing acute appendicitis in pregnant women is challenging. Early appendectomy, preferably via laparoscopy, is recommended for suspected cases to improve maternal and infant outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology

Context:

  • Acute appendicitis occurs in 0.2% of pregnancies.
  • Diagnosis is complicated by pregnancy, with symptoms varying by gestational age.

Purpose:

  • To describe the epidemiological, diagnostic, and therapeutic features of acute appendicitis during pregnancy.
  • To analyze surgical outcomes and impact on pregnancy.

Summary:

  • A retrospective analysis of 21 pregnant women with appendicitis revealed abdominal pain in all cases, with diagnosis aided by ultrasound.
  • 18 cases were uncomplicated appendicitis, 2 had peritonitis, and 1 had focal induration. Appendectomy was performed in all cases, with tocolysis used.
  • Outcomes included 10 term deliveries, 1 premature delivery, and 1 fetal death.

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Impact:

  • Pregnancy complicates appendicitis diagnosis, necessitating prompt surgical intervention.
  • Laparoscopic appendectomy is preferred to minimize risks to mother and infant.
  • Early diagnosis and treatment are crucial for favorable maternal and fetal outcomes.