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2014, Number 4

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Revista Cubana de Cirugía 2014; 53 (4)

Acute appendicitis in pregnancy

Noa LI, Laffita LW, Jay HO, Romero RF, Galano LN, Hernández CB

Language: Spanish
References: 25
Page: 336-345
PDF size: 87.39 Kb.


ABSTRACT

Introduction: acute appendicitis in pregnancy raises concerns because of difficulties that may arise at the time of diagnosis. If this disorder is not managed in due time, it may cause death. In the case of pregnant woman, acute appendicitis is not only a threat for the mother but for the fetus as well.
Objective: to find out the situation of acute appendicitis in pregnancy at "Dr Agosthinho Neto" general teaching hospital in Guantanamo from January 2003 through January 2013.
Methods: retrospective, descriptive, and longitudinal study of 56 pregnant women who had had acute appendicitis during pregnancy at this hospital.
Results: the age group of 25 to 29 years and the third trimester as gestational age were predominant. The most common symptom was abdominal pain (100 %) located in the right flank (57 %). The predominant sign was peritoneal reaction present in 62.5 % of cases, whereas the most common incisions were right infraumbilical paramedian, and Mac-Burney's. The complications observed in this study were surgical site infection in the mother and abortion in fetal complications, both representing 7.1%. The most frequent pathological forms were flu and suppurative one.
Conclusions: in the course of this study, evidence shows that the diagnosis of acute appendicitis during pregnancy should always be considered in all pregnant women who go to the doctor's with symptoms of abdominal pain located on right flank and iliac quadrants. This paper shows that acute appendicitis is more frequent between the second and the third trimester of pregnancy and that early diagnosis allows prompt treatment with minimal complications.


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