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Acute appendicitis in pregnancy
Yusuf Yavuz1, Mustafa Sentürk2, Tufan Gümüş1
1Department of General Surgery, Şanlıurfa Training and Research Hospital, Şanlıurfa-Turkey.
Summary
Acute appendicitis is a common cause of abdominal pain in pregnant women. Early diagnosis and a multidisciplinary approach are crucial for maternal and infant health.
Area of Science:
- Obstetrics and Gynecology
- General Surgery
- Emergency Medicine
Background:
- Acute appendicitis is the most frequent cause of non-obstetric acute abdomen in pregnant individuals.
- Prompt diagnosis and management are essential for favorable maternal and fetal outcomes.
Purpose of the Study:
- To investigate the clinical characteristics and management of acute appendicitis in pregnant patients.
- To highlight the importance of a multidisciplinary approach in diagnosing and treating this condition during pregnancy.
Main Methods:
- Retrospective analysis of 17 pregnant patients diagnosed with acute appendicitis between 2016-2019.
- Evaluation of clinical data, including age, gestational week, diagnostic imaging, surgical procedures, and outcomes.
Main Results:
- The mean age of patients was 25.5 years, with most in the second trimester (64.8%).
- Abdominal pain was the primary symptom; ultrasonography detected appendicitis in 11 out of 17 patients.
- 13 patients (86.7%) were histopathologically confirmed with appendicitis, with no adverse maternal or infant outcomes.
Conclusions:
- Acute appendicitis must be considered in pregnant women presenting with abdominal pain.
- A meticulous and multidisciplinary approach is vital for optimal maternal and infant health when managing appendicitis in pregnancy.
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