Timely diagnosis of acute appendicitis in pregnancy can be difficult. In most cases a correct diagnosis can be arrived at on the basis of a history and physical examination with supportive routine laboratory tests. Urgent surgery is the treatment of choice but delay continues to be a common problem. Infective complications are well recognized in appendicitis; similarly this group of patients is at a higher risk of venous thrombosis and embolism, and routine prophylaxis should be considered in all.

IAH is a poorly recognized clinical entity with potentially devastating impact on patient outcomes. Since majority of patients had IAH at the time of admission, all ICU patients especially on ventilator should have baseline intra-abdominal pressures measured at the time of admission and subjected to appropriate management to prevent them from developing abdominal compartment syndrome.

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