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Acute appendicitis complicating pregnancy

D Lolis, C Pissiotis, G Creatsas

    Annales Chirurgiae Et Gynaecologiae
    |January 1, 1978
    PubMed
    Summary
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    Diagnosing acute appendicitis in pregnancy is challenging, particularly in later stages, leading to increased maternal and fetal risks. Prompt diagnosis and treatment are crucial to reduce mortality rates.

    Area of Science:

    • Obstetrics and Gynecology
    • Surgical Pathology

    Background:

    • Acute appendicitis is a common surgical emergency.
    • Pregnancy can alter the typical presentation and diagnostic findings of appendicitis.

    Purpose of the Study:

    • To analyze cases of acute appendicitis complicating pregnancy.
    • To identify challenges in diagnosis and their impact on maternal and fetal outcomes.

    Main Methods:

    • Retrospective analysis of seventeen cases of acute appendicitis during pregnancy.
    • Review of presenting symptoms, physical findings, diagnostic delays, and outcomes.

    Main Results:

    • Presenting symptoms included abdominal pain, nausea, and anorexia.
    • Diagnosis was more difficult in advanced gestation, correlating with increased disease severity and fetal mortality.

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  • Delayed diagnosis and treatment were associated with high maternal and fetal death rates.

    • Conclusions:

    • Acute appendicitis in pregnancy poses diagnostic challenges, especially in later trimesters.
    • Timely diagnosis and intervention are critical for improving maternal and fetal survival rates in complicated pregnancies.