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[Acute appendicitis in pregnancy].

F de C Barros¹, J R Kunzle, J do A Ribeiro Filho

¹Serviço de Cirurgia de Ribeirão Preto, SP.

Revista Paulista De Medicina

|January 1, 1991

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Acute appendicitis in pregnancy is rare but can be aggressive. Early diagnosis and intervention are crucial for favorable outcomes in pregnant patients.

Area of Science:

Obstetrics and Gynecology
Surgical Pathology

Context:

Pregnancy presents unique challenges for diagnosing acute appendicitis.
The condition's presentation can be altered by anatomical changes during gestation.

Purpose:

To analyze the incidence, clinical presentation, and outcomes of acute appendicitis during pregnancy.
To identify complications associated with appendicitis in pregnant patients.

Summary:

A retrospective study of 18,065 deliveries identified 7 cases of acute appendicitis (0.038%).
Appendicitis occurred most frequently in the second trimester, with similar initial symptoms to non-pregnant patients.
Despite rapid progression and high rates of purulent secretion, no maternal mortality was observed.

Impact:

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Complications included premature labor (28%), wall abscess (14%), and adynamic ileus (14%).
Prompt surgical management is vital for improving maternal and fetal outcomes in pregnancy-related appendicitis.