Acute appendicitis in pregnancy: Specific features of diagnosis and treatment - 17/08/12
, M. Brahem, S. Ben Abid, Z. Mzoughi, N. Arfa, M. Tahar Khalfallah
Corresponding author. Tel.: +216 98 56 77 94.Summary |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Appendicitis, Pregnancy, Surgery, Ultrasonography, Laparoscopy
Plan
Vol 149 - N° 4
P. e275-e279 - août 2012 Retour au numéro
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