Laparoscopic Appendectomy for Acute Appendicitis With Adnexal Adhesion During the Third Trimester of Pregnancy: A...

Acute appendicitis during pregnancy is associated with maternal/fetal complications. Although laparoscopic appendectomy is widely accepted for managing appendicitis, limited data are available regarding laparoscopy in cases occurring during the third trimester of pregnancy. We present the case of a patient in the third trimester of pregnancy with acute appendicitis and adnexal adhesions who underwent laparoscopic appendectomy. The appendectomy was successful; however, dissection of the adhesions between the inflamed appendix and right adnexa led to prolonged operative and pneumoperitoneum times. The patient was discharged without complications, subsequently delivering a healthy infant at 38 weeks of gestation. This case shows that laparoscopic appendectomy can be performed safely during advanced pregnancy with careful consideration of lower intraperitoneal insufflation pressure, port arrangement, and surgical position. This report contributes to existing research regarding the safety of laparoscopic appendectomy in advanced pregnancy.