2020, Number 07
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Revista Médica Sinergia 2020; 5 (07)
Appendicitis in pregnancy
Barrantes AGJ, Varela MAC, Arias VR
Language: Spanish
References: 33
Page: 1-12
PDF size: 137.32 Kb.
ABSTRACT
Acute appendicitis stands out as the most frequent non-obstetric surgical
emergency during pregnancy. Its diagnostic approach represents a
challenge, since due to the physiological and anatomical changes typical of
pregnancy, the symptoms are usually not as clear. Despite the fact that the diagnosis is based on clinical and laboratory values, pregnant patients may
not present the classic findings of acute appendicitis, so imaging studies are
essential in case of diagnostic doubt. The definitive treatment for acute
appendicitis is appendectomy, either open or laparoscopic, associated with
the administration of broad-spectrum prophylactic antibiotics. This pathology
must be addressed in a timely manner, since the delay in its management is
associated with adverse maternal and fetal outcomes.
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