Acute Appendicitis in Pregnancy in Baghdad Teaching Hospital
Main Article Content
Abstract
Background: Acute appendicitis is the most common surgical problem in pregnancy (non-obstetric emergencies in pregnancy) but it does not occur more often in pregnant women than in non-pregnant women, the incidence is 0.1% - 0.2%.
The aim of the study was to evaluate the clinical presentation of pregnant patients at different trimesters, the change in pain location during pregnancy and maternal complications during hospitalization.
Patients & methods: Sixty two pregnant patients with diagnosis of acute appendicitis from October 2010 to February 2012 in Baghdad Teaching Hospital - Medical City were followed up prospectively.
Analysis was done on relation of acute appendicitis to trimesters of pregnancy, site of pain changing according to trimesters, and whether maternal complications and abortion occurred during hospitalization.
Results: Sixty two pregnant patients with diagnosis of acute appendicitis underwent emergency appendectomy. The age range of the patients was
16-41 years, occurred most commonly in the second trimester, majority of pregnant patients with acute appendicitis were multigravidas. The most common presenting symptom was abdominal pain. Patients who did not have a scar of previous caesarean section, the change in the site of the appendix and maximum site of tenderness was more than those who had previous scar.
Conclusion: The diagnostic accuracy of acute appendicitis in pregnant women is vital. Early appendectomy prevents complicated conditions.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Gomez A, Wood M. Acute appendicitis during pregnancy. Am J Surg 1979; 137: 180-183.
Kort B, Katz VL, Watson WJ. The effect of non-obstetric operation during pregnancy. Surg Obstet Gynecol 1993; 177 : 371-6.
Parangi S, Levine D, Henry A, Isakovich N, Pories S. Surgical gastrointestinal disorders during pregnancy. Am J Surg 2007; 193: 223-232.
Walsh CA, Tang T, Walsh SR. Laparoscopic versus open appendicectomy in pregnancy: a systematic review. Int J Surg 2008; 6: 339-344.
Mazze RI,Kallen B. Appendectomy during pregnancy: a Swedish registry study of 778 cases. Obstet gynecol 1991;77:835-40.
Baer JL,Reis RA, Araens RA. Appendicitis in pregnancy with changes in position and axis of the normal appendix in pregnancy. JMAM 1932; 98:1359-64.
Lim HK, Bae SH, Seo GS. Diagnosis of acute appendicitis in pregnant women: value of sonography. Am J Roentgeno/ 1992; 159:539-42.
Alberto Gomez and Mac Donald: Acute appendicitis in Pregnancy (Am.J.Surg.: 1979.137).
Munthir Al-Obaidi, Acute appendicitis in pregnancy, J. Fac.Med.Baghdad, 2001. Vol.43, No.2.
Lt Col S Chawla, Lt Col shakti Vardhan*, Brigss Jog*, Appendicitis during pregnancy, MJAFI 2003; 59: 212-215.
ZHANG Yan, ZHAO Yang-yu, QIAO Jie and YE Rong-hua, Diagnosis of appendicitis during pregnancy and perinatal outcome in the late pregnancy, Chinese Medical Journal 2009; 122(5) : 521-524.
RUTH M. KING, M.D., and GAIL V. ANDERSON, M. D., Los Angeles, Appendicitis and pregnancy. CALIFORNIA MEDICINE, September 1962. Vol. 97,No.3: 158-162 .
liana L. Tamir; acute appendicitis in the pregnant patient: Amer. J. Surg.; 1990;160:571.
Therese M. Mc Gee. Acute appendicitis in pregnancy Aust.Nz. obstet.Gynecology 1989;29:4:378.
Weingold AB. Appendicitis in pregnancy. Clin. Obstet. Gynecology 1983; 26:801-810.
Hao-Yu Lin Jin-Tung Liang, Acute appendicitis in pregnancy, J Soc Colon Rectal Surgeon (Taiwan) June 2010.
Mc Comb P.Raimon H. appendicitis complication pregnancy; Can. J. Surg.1980;23:92-94.
Tikriti F.acute appendicitis, A clinical and histopathological diagnosis J. of faculty of medicine Baghdad) 1994:36: 621-62
Black, W. P.: Acute appendicitis in pregnancy, Brit. Med. J., June 1960,1:1938-1941.
Burwell, J.C., and Brooks, J. B.: Acute appendicitis in pregnancy, Amer. J.Obstet. Gynec., 78:772-775, Oct. 1959.
Dickison, J. C.: Acute appendicitis complicating pregnancy, Canad. Med. Assn.J., March 1956, 74:367-370.
Hodjati H, Kazerooni T. Location of the appendix in the gravid patient: a reevaluation of the established concept. Int J Gynaecol Obstet 2003; 81: 245-247.
MOHAMMED SADDIQUE, PERVES IQBAL, ASIFA GHAZI: APPENDICITIS IN PREGNANCY, Pakistan Journal of Surgery ..Volume 25, issue 1, 2009.