Abstract:Acute abdominal pain in pregnancy may be attributable to a broad range of nonobstetrical causes. The evaluation of an acute abdomen during pregnancy must include in the differential diagnosis appendicitis and cholecystitis, which are 2 of the most common reasons for nonobstetric surgical intervention in pregnancy. Both conditions may be associated with significant maternal and fetal morbidity and/or mortality. This study will provide a contemporary synopsis regarding the diagnosis and management of appendiciti… Show more
“…[11,12] The most commonly performed non-obstetric operation (44%) on pregnant women is appendectomy. [13] Diagnosis of commonly encountered signs of appendicitis is challenging due to physiological changes that occur during pregnancy.…”
BACKGROUND: Acute appendicitis (AA) is the most common cause of acute abdomen during pregnancy. Most of the signs of appendicitis are also found during normal pregnancy period, however, and diagnosis of appendicitis during pregnancy remains challenging. The aim of the current study was to report our clinical experience of AA during pregnancy and investigate optimal management of this difficult situation.
“…[11,12] The most commonly performed non-obstetric operation (44%) on pregnant women is appendectomy. [13] Diagnosis of commonly encountered signs of appendicitis is challenging due to physiological changes that occur during pregnancy.…”
BACKGROUND: Acute appendicitis (AA) is the most common cause of acute abdomen during pregnancy. Most of the signs of appendicitis are also found during normal pregnancy period, however, and diagnosis of appendicitis during pregnancy remains challenging. The aim of the current study was to report our clinical experience of AA during pregnancy and investigate optimal management of this difficult situation.
“…common non-obstetrical operations in pregnant patients [1][2][3][4][5]. The highest incidence is appendicitis, which occurs in 0.04-0.2 % of all pregnancies; this representing 25 % of non-obstetric operations performed during pregnancy [1,2,4].…”
While fetal events are unknown, LA and LC in pregnant patients demonstrated shorter ORT, LOS, and reduced complications and were performed more frequently over time. Even in perforated cases, laparoscopy appears safe in pregnant patients.
“…Conservative treatment of acute biliary diseases during pregnancy has been reported to have relapse rates between 40 and 70 % [77]. On the other hand, laparoscopic cholecystectomy has been safely performed during all trimesters of pregnancy but may require a specific strategy for patient and port positioning [78,79].…”
Section: Acute Cholecystitis In Pregnancymentioning
Trial evidence would favour a policy of early laparoscopic cholecystectomy following admission with acute cholecystitis. The optimal approach to support early cholecystectomy is suggested but requires evidence from further randomised trials.
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