INTRODUCTION: Acute appendicitis is the most frequent surgical emergency arising during pregnancy. Definitive diagnosis is often difficult. The therapeutic options remain the same, i.e. appendectomy. PATIENTS AND METHODS: We present a series of 29 pregnant women who underwent surgery for acute appendicitis over a period of 10 years. The mean age was 28.6 years. Mean gravidity was 1.75 and mean parity was 0.84. The average period of gestation was 18 weeks and 5 days since the last menses. Seven patients underwent surgery during the 1st trimester, 15 during the 2nd trimester, and seven during the 3rd trimester. Eighteen patients underwent appendectomy through a laparoscopic approach and 11 through a McBurney incision. RESULTS: The postoperative course was uncomplicated in 27 patients. Two patients miscarried in the week following surgery. CONCLUSIONS: Acute appendicitis puts both maternal and fetal prognosis at risk. Management should be prompt and undertaken by a multidisciplinary team approach. Morbidity and mortality are not negligible.
INTRODUCTION: Acute appendicitis is the most frequent surgical emergency arising during pregnancy. Definitive diagnosis is often difficult. The therapeutic options remain the same, i.e. appendectomy. PATIENTS AND METHODS: We present a series of 29 pregnant women who underwent surgery for acute appendicitis over a period of 10 years. The mean age was 28.6 years. Mean gravidity was 1.75 and mean parity was 0.84. The average period of gestation was 18 weeks and 5 days since the last menses. Seven patients underwent surgery during the 1st trimester, 15 during the 2nd trimester, and seven during the 3rd trimester. Eighteen patients underwent appendectomy through a laparoscopic approach and 11 through a McBurney incision. RESULTS: The postoperative course was uncomplicated in 27 patients. Two patients miscarried in the week following surgery. CONCLUSIONS: Acute appendicitis puts both maternal and fetal prognosis at risk. Management should be prompt and undertaken by a multidisciplinary team approach. Morbidity and mortality are not negligible.
Authors: E Ball; N Waters; N Cooper; C Talati; R Mallick; S Rabas; A Mukherjee; Y Sri Ranjan; M Thaha; R Doodia; R Keedwell; M Madhra; N Kuruba; R Malhas; E Gaughan; K Tompsett; H Gibson; H Wright; C Gnanachandran; T Hookaway; C Baker; K Murali; D Jurkovic; N Amso; J Clark; S Thangaratinam; T Chalhoub; P Kaloo; E Saridogan Journal: Facts Views Vis Obgyn Date: 2019-03
Authors: Martina Caruso; Giuseppina Dell'Aversano Orabona; Marco Di Serafino; Francesca Iacobellis; Francesco Verde; Dario Grimaldi; Vittorio Sabatino; Chiara Rinaldo; Maria Laura Schillirò; Luigia Romano Journal: Diagnostics (Basel) Date: 2022-03-05