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Location of appendix in pregnancy: does it change?
Aliya Ishaq1, Muhammad Jamshaid Husain Khan2, Turab Pishori1
1Department of General Surgery, Liaquat National University Hospital, Karachi, Pakistan, aishaq@dha.gov.ae.
Clinical and Experimental Gastroenterology
|August 14, 2018
Summary
In most full-term pregnancies, the appendix remains in its typical anatomical location, not migrating upwards significantly with advancing gestational age. This study observed the appendix
Area of Science:
- Obstetrics and Gynecology
- Surgical Anatomy
- Medical Imaging
Background:
- Appendiceal location can be altered by physiological changes during pregnancy.
- Understanding anatomical variations is crucial for accurate diagnosis and surgical intervention.
Purpose of the Study:
- To determine the anatomical position of the appendix in women at full-term pregnancy.
- To assess if the appendix migrates superiorly with increasing gestational age.
Main Methods:
- A descriptive cross-sectional study was conducted.
- Seventy-seven full-term pregnant women undergoing cesarean section were enrolled.
- Appendix position was visually assessed relative to the transtubercular plane (TTP).
Main Results:
- The appendix was in the normal anatomical location in 81.8% of patients.
- In 18.2% of cases, the appendix was found above the TTP.
- Mean gestational age was 38 weeks.
Conclusions:
- The appendix generally maintains its normal anatomical position in the majority of full-term pregnancies.
- Significant upward migration of the appendix is uncommon as pregnancy progresses to full term.
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