2023, Number 05
Acute appendicitis in pregnancy: surgery challenge
Language: Spanish
References: 19
Page:
PDF size: 430.25 Kb.
ABSTRACT
Acute appendicitis is the most common cause of acute surgical abdomen during pregnancy. Its diagnosis becomes complicated, due to the anatomical and physiological changes that occur during this period, so its clinical presentation will not always be as clear as in the non-obstetric population. A timely diagnosis in which, in addition to the clinic and laboratory values, imaging studies are included is of importance when there is diagnostic doubt. The definitive management of acute appendicitis is by means of an appendectomy, either by laparoscopic or open technique. A timely approach to this pathology would reduce maternal-fetal morbidity and mortality.REFERENCES
Brăila AD, Zavate AC, Stepan AE, Sabetay C, Kamel J, Georgescu-Brăila m, et al. The acute abdomen in pregnancy and postpartum of a teenager woman. case report. Romanian Journal of mMrphology and Embryology. U.S. National Library of Medicine [Internet]; 2018 [citado febrero de 2023]. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30534837/
Odubamowo KH, Chilaka C, Walker KF. Abdominal pain in late pregnancy (≥24 weeks gestation). Obstetrics, Gynaecology &Reproductive Medicine [Internet]. Jul de 2022 [citado febrero de 2023]; 32(7):141–51. Disponible en: https://www.obstetrics-gynaecology-journal.com/article/S1751-7214(22)00089-6/fulltext
Weinstein MS, Feuerwerker S, Baxter JK. Appendicitis and cholecystitis in pregnancy. Clinical Obstetrics & Gynecology [Internet]. Jun 2020 [citado febrero de 2023];63(2):405–15. Disponible en: https://journals.lww.com/clinicalobgyn/Abstract/2020/06000/Appendicitis_and_Cholecystitis_in_Pregnancy.19.aspx
Tumati A, Yang J, Zhang X, Su J, Ward CA, Hong J, et al. Pregnant patients requiring appendectomy: Comparison between open and laparoscopic approaches in NY State. Surgical Endoscopy [Internet]. Ago 2021 [citado febrero de 2023];35(8):4681–90. Disponible en: https://link.springer.com/article/10.1007/s00464-020-07911-y
Cvetković-Vega A, Nieto-Gutiérrez W. Acute appendicitis in pregnant women: A case report. Revista de la Facultad de Medicina Humana [Internet]. Jul 2020 [citado febrero de 2023];20(3):521–4. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S2308-05312020000300521#:~:text=La%20apendicitis%20aguda%20representa%20el,lo%20expuesto%20en%20este%20caso
Lee SH, Lee JY, Choi YY, Lee JG. Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: A systematic review and updated meta-analysis. BMC Surgery [Internet]. 25 Abr 2019 [citado febrero de 2023];19(1). Disponible en: https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-019-0505-9
Restrepo-Castro OI, Granados-Casallas N, Usta-Stavoli CP, Castillo-Zamora MF. Diagnóstico de Apendicitis en el Tercer Semestre de la gestación: Reporte de Caso y Revisión de la Literatura. Revista Colombiana de Obstetricia y Ginecología [Internet]. 29 Jun 2018 [citado febrero de 2023];69(2):124. Disponible en: https://revista.fecolsog.org/index.php/rcog/article/view/3042
Fernández Paniagua D, Valdés Esquivel J, Valverde Madriz P, Vasquez Solís M, Carballo Badilla M. Apendicitis durante el embarazo. Revista Electrónica de PortalesMedicos.com [Internet]. Ago 2020 [citado febrero de 2023]. Disponible en: https://www.revista-portalesmedicos.com/revista-medica/apendicitis-durante-el-embarazo/
Nakashima M, Takeuchi M, Kawakami K. Clinical outcomes of acute appendicitis during pregnancy: Conservative Management and appendectomy. World Journal of Surgery [Internet]. 26 Feb 2021[citado febrero de 2023];45(6):1717–24. Disponible en: https://link.springer.com/article/10.1007/s00268-021-06010-w
Adamina M, Andreou A, Arezzo A, Christogiannis C, Di Lorenzo N, Gioumidou M, et al. EAES Rapid Guideline: Systematic Review, meta-analysis, grade assessment, and evidence-informed European recommendations on appendicitis in pregnancy. Surgical Endoscopy [Internet].28 Oct 2022 [citado febrero de 2023];36(12):8699–712. Disponible en: https://link.springer.com/article/10.1007/s00464-022-09625-9
Iwamura S, Hashida H, Yoh T, Kitano S, Mizumoto M, Kitamura K, et al. Laparoscopic appendectomy during the third trimester: Case presentation and literature review. Asian Journal of Endoscopic Surgery [Internet]. 4 Ene 2018 [citado febrero de 2023];11(4):413–6. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/ases.12456
Cai Y-L, Yang S-S, Peng D-Z, Jia Q-B, Li F-Y, Ye H, et al. Laparoscopic appendectomy is safe and feasible in pregnant women during the second trimester. Medicine [Internet]. 14 Ago 2020 [citado febrero de 2023];99(33). Disponible en: https://journals.lww.com/md-journal/Fulltext/2020/08140/Laparoscopic_appendectomy_is_safe_and_feasible_in.115.aspx
Liu J, Ahmad M, Wu J, Tong XJ, Zeng HZ, Chan FSY, et al. Antibiotic is a safe and feasible option for uncomplicated appendicitis in pregnancy ‐ a retrospective cohort study. Asian Journal of Endoscopic Surgery [Internet]. 12 Ago 2020 [citado febrero de 2023];14(2):207–12. Disponible en: https://onlinelibrary.wiley.com/doi/10.1111/ases.12851.