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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

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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.

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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.