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[Appendicitis during pregnancy]

E Bonfante Ramírez1, A Estrada Altamirano, R Bolaños Ancona

  • 1Instituto Nacional de Perinatología, Mex., D.F. Clínica de Embarazo de alto riesgo.

Ginecologia Y Obstetricia De Mexico
|June 3, 1998
PubMed
Summary
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Acute appendicitis is a common surgical emergency in pregnancy. Early diagnosis and treatment are crucial for favorable outcomes for both mother and fetus.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology

Context:

  • Pregnancy presents unique diagnostic challenges for acute appendicitis due to anatomical changes.
  • Acute appendicitis is a leading indication for laparotomy during pregnancy.

Purpose:

  • To review cases of acute appendicitis during pregnancy and analyze diagnostic challenges and outcomes.

Summary:

  • A retrospective study identified 4 cases of acute appendicitis among 35,080 deliveries between 1989 and 1994.
  • Diffuse abdominal pain was the primary symptom; diagnosis was often initially mistaken for obstetric complications.
  • All patients underwent appendectomy, with one requiring hysterectomy and experiencing an abscess complication. Only one healthy newborn was delivered.

Impact:

Related Experiment Videos

  • Highlights the importance of timely diagnosis and surgical intervention for improved maternal and fetal prognosis.
  • Underscores that appendectomy and cholecystectomy are frequent reasons for abdominal surgery in pregnant patients.