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Related Experiment Videos

Appendicitis complicating pregnancy.

S Mahmoodian1

  • 1Department of Obstetrics and Gynecology, United Hospital Center, Clarksburg, WVa.

Southern Medical Journal
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Appendectomy during pregnancy is safe, with no fetal or maternal loss in this series. Prompt diagnosis and surgical intervention for appendicitis in pregnant patients are crucial for optimal outcomes.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology

Background:

  • Appendicitis is a common surgical emergency.
  • Pregnancy can alter the presentation and diagnosis of appendicitis.
  • Delayed diagnosis in pregnancy increases risks for perforation and adverse outcomes.

Purpose of the Study:

  • To evaluate the safety and outcomes of appendectomy in pregnant patients.
  • To review the incidence of appendicitis and perforation in pregnant women.
  • To emphasize the importance of timely diagnosis and surgical management.

Main Methods:

  • A series of nine pregnant patients undergoing appendectomy.
  • Literature review of over 900 appendectomy cases in pregnancy since 1960.
  • Analysis of diagnostic findings, surgical outcomes, maternal, and perinatal mortality.

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Main Results:

  • No fetal or maternal loss occurred in the nine-patient series.
  • Seven patients had acute appendicitis; one perforated due to delayed diagnosis.
  • In the literature review, 25% of appendicitis cases in pregnancy involved perforation, with all five maternal deaths occurring in this subgroup.

Conclusions:

  • Appendectomy in pregnancy can be performed safely with prompt surgical intervention.
  • Clinical acumen is key for diagnosing appendicitis in pregnancy.
  • Delayed diagnosis and perforation significantly increase maternal and perinatal mortality risks.