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Perforated appendicitis in pregnancy: case report


Authors: Renáta Hlistová
Authors‘ workplace: Gynekologicko-porodní oddělení, Nemocnice ve Frýdku-Místku p. o.
Published in: Prakt Gyn 2015; 19(2): 107-110
Category: Gynecology and Obstetrics: Case Report

Overview

Objective:
To draw attention to the issue of appendicitis in pregnancy.

Design:
Case report.

Case report:
We present a case study in the form of a case of occurrence of appendicitis with peritonitis in 27 weeks pregnancy. And describes the birth and childbed, which is complicated by infectious complications.

Conslusion:
Appendicitis in pregnancy is associated with increased maternal and fetal morbidity and even more in case of peritonitis. Delay surgical intervention correlates with increased risk of perforation, which contributes to the increase of other complications, including premature birth, abortion and maternal complications. Prompt diagnosis and early surgery can reduce maternal and fetal morbidity.

Keywords:
appendicitis in pregnancy – perforation – preterm labor


Sources

1. Hájek Z (ed). Rizikové a patologické těhotenství. Grada Publishing: Praha 2004. ISBN 80–247–0418–8.

2. Yilmaz HG, Akgun Y, Bac B et al. Acute apendicitis in pregnancy – risk factors associated with principal outcomes: a case control study. Int J Surg 2007; 5(3): 192–197.

3. Kudela M (ed). Základy gynekologie a porodnictví pro posluchače lékařské fakulty. 2nd ed. Univerzita Palackého v Olomouci: Olomouc 2008. ISBN 978–80–244–1975–6.

4. Zhang Y, Zhao YY, Qiao J et al. Diagnosis of apendicitis during pregnancy and perinatal outcome in the late pregnancy. Chin Med J (Engl) 2009; 122(5): 521–524.

5. Abbasi N, Patenaude V, Abenhaim HA. Evaluation of obstetrical and fetal outcomes in pregnanices complicated by acute apendicitis. Arch Gynecol Obset 2014; 290(4): 661- 667.

6. Juhasz-Böss I, Solomayer E, Strik M. Abdominal Surgery in Pregnancy—an Interdisciplinary Challenge. Dtsch Arztebl Int 2014; 111(27–28): 465–472.

7. Chung JC, Cho GS, Shin EJ et al. Clinical outcomes compared between laparoscopic and open appendectomy in pregnant women. Can J Surg 2013; 56(5): 341–346.

8. McGory M, Zingmond D, Tillou A et al. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg 2007; 205(4): 534–540.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Practical Gynecology

Issue 2

2015 Issue 2

Most read in this issue
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