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[Acute appendicitis in pregnancy. Our experience]

G De Rosa1, C Peppas, R D'Ambrosio

  • 1Dipartimento di Emergenze, Osservazione Chirurgica Polispecialistica, Regione Campania, USI 40 Napoli.

Minerva Chirurgica
|November 1, 1996
PubMed
Summary

Diagnosing acute appendicitis in pregnancy is challenging due to shifting symptoms. Early surgical intervention is crucial for positive maternal outcomes, though fetal risks persist, especially with perforation.

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology

Context:

  • Acute appendicitis during pregnancy presents unique diagnostic challenges.
  • Symptoms and clinical signs can be atypical, especially in late gestation, due to anatomical changes like uterine displacement of the appendix.

Purpose:

  • To review diagnostic and therapeutic challenges of acute appendicitis in pregnancy.
  • To analyze outcomes based on medical literature and case observations.

Summary:

  • Diagnosis relies heavily on clinical examination, even with non-invasive methods like sonography.
  • Surgical treatment for acute appendicitis is feasible and recommended during pregnancy without delay.
  • Maternal mortality is zero, but fetal mortality ranges from 2% to 43% in perforated cases.

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Impact:

  • Highlights the importance of clinical acumen in diagnosing appendicitis in pregnant patients.
  • Emphasizes that pregnancy should not impede timely surgical management of appendicitis.
  • Underscores the significant fetal risks associated with delayed diagnosis and perforation.