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Acute appendicitis complicating pregnancy
Q O Al-Qasabi1, A K Tyagi, A Al-Dohayan
1Department of Surgery, King Khalid University Hospital and Riyadh Central Hospital, Riyadh, Saudi Arabia.
Annals of Saudi Medicine
|January 1, 1991
Summary
Pregnancy appendicitis requires careful diagnosis and surgery. An aggressive approach significantly reduces maternal and fetal mortality in pregnant patients with appendicitis.
Area of Science:
- Obstetrics and Gynecology
- Surgical Gastroenterology
Background:
- Appendicitis during pregnancy poses diagnostic and management challenges for healthcare providers.
- Accurate diagnosis and timely surgical intervention are crucial for favorable outcomes.
Purpose of the Study:
- To analyze the incidence, presentation, and outcomes of appendicitis in pregnant patients.
- To evaluate the effectiveness of an aggressive diagnostic and surgical approach.
Main Methods:
- Retrospective analysis of 52 consecutive cases of appendicitis in pregnant patients over a four-year period.
- Review of patient data including symptomatology, physical examination findings, laboratory results, and operative findings.
Main Results:
- No maternal morbidity was reported in the study cohort.
- A 4% fetal mortality rate was observed.
- Findings were compared with existing literature on pregnancy-related appendicitis.
Conclusions:
- An aggressive diagnostic and surgical strategy is associated with reduced maternal and fetal mortality.
- Prompt management of appendicitis in pregnancy is vital for improving patient outcomes.
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