Acute Appendicits in Pregnancy: Evaluation of 129 Patients During 20 years

Abstract

Background: Acute appendicitis is the most common non-obstetric emergency requiring surgery during pregnancy, and delayed diagnosis is associated with a greater risk of fetal or maternal morbidity and fetal loss. The aim of this study is to analyze the diagnosis of acute appendicitis during pregnancy, along with maternal and fetal complications. Methods:Between January 1990 and December 2010, 129 pregnant women who were operated on due to acute appendicitis were evaluated retrospectively. Results:The mean age of patients was 28.3 ± 6.6 years, and the time from presentation of symptoms to admission was 41.1 ± 33.2 hours. The most common complaints were lower right quadrant pain (66.7%) and nausea-vomiting (65.1%). The most common physical signs were abdominal tenderness and rebound. Gestational stage at diagnosis was second trimester in 74 patients, first trimester in 31 patients, and third trimester in 24 patients. The perforation rate among our cases was 28.7%. The perforation-associated with delayed admission to the hospital (P = 0.001) was the most common in the first trimester with a rate of 40.5%. Morbidity occurred in 41 patients (31.8%). Fetal mortality occurred in 1 (1.1%) of nonperforated patients, and in 5 of the perforated patients (13.5%). No maternal mortality occurred. Mean hospital stay was 2.8 ± 0.9 days in non-perforated patients, while 5.3 ± 2.2 days in perforated patients (P = 0.001). Conclusions:Because of the nonspecific and pregnancy-attributed symptoms, acute appendicitis during pregnancy may result in an increased risk of fetomaternal morbidity and fetal mortality.

The significance of hemogram on diagnosis of acute appendicitis during pregnancy

“…Gebelikte hemogramın akut apandisit tanısındaki önemi Dr. Hamza Çınar, 1 Dr. Ali Aygun, 2 Dr. Murat Derebey, 3 Dr. İsmail Alper Tarım, 4 Dr. Çağrı Akalın, 1 Dr. Sercan Büyükakıncak, 5 Dr. Kenan Erzurumlu 4 1 Ordu Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Ordu 2 Ordu Üniversitesi Tıp Fakültesi, Acil Tıp Anabilim Dalı, Ordu 3 Tatvan Devlet Hastanesi, Genel Cerrahi Kliniği, Bitlis 4 Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Samsun 5 Akçaabat Haçkalı Baba Devlet Hastanesi, Genel Cerrahi Kliniği, Trabzon AMAÇ: Akut apandisit (AA) gebelik döneminde obstetrik ve jinekolojik patolojilerden sonra en sık acil cerrahi gerektiren durumdur. Gebe hastalarda AA tanısının hızlı ve doğru konulması maternal ve fetal morbite/mortalite oranlarını azaltır.…”