Acute Appendicitis in Pregnancy

McGee, Therese

doi:10.1111/j.1479-828x.1989.tb01773.x

Cited by 35 publications

(17 citation statements)

References 17 publications

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“…McGee et al reported a negative appendectomy rate as low as 3% [2]. McGory and colleagues reported a rate of 23%, which is one of the most widely reported studies in the literature [12].…”

Section: Discussionmentioning

confidence: 99%

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A case series of 46 appendectomies during pregnancy

Terzi

Yıldız

Vural

et al. 2010

Wien Klin Wochenschr

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“…McGee et al reported a negative appendectomy rate as low as 3% [2]. McGory and colleagues reported a rate of 23%, which is one of the most widely reported studies in the literature [12].…”

Section: Discussionmentioning

confidence: 99%

“…Among all surgeries during pregnancy, 25% are performed due to non-obstetrical indications [1][2][3]. Th e incidence of acute appendicitis is the same in pregnant and non-pregnant women.…”

Section: Introductionmentioning

confidence: 96%

A case series of 46 appendectomies during pregnancy

Terzi

Yıldız

Vural

et al. 2010

Wien Klin Wochenschr

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“…[21,22] Terzi et al found rate of 13% [14] and Miloudi et al reported negative appendectomy rate of 3.4%. [23] Present study finding of 30% rate is higher than literature findings, but may be explained by inability to perform MRI or presence of physical findings that indicated urgent exploration.…”

Section: Discussionmentioning

confidence: 99%

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Arer

Alemdaroğlu²,

Yeşilağaç³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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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.

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“…Maternal morbidity from appendicitis is very uncommon; however, there is a significant risk to the pregnancy with reported fetal loss rates of 2-4% related to nonperforated appendicitis and 3-10% related to negative appendectomy. The fetal loss rate increases dramatically to 24% in the setting of perforated appendicitis [16][17][18]. In addition, the risk for preterm delivery is increased after appendectomy, particularly during the first postoperative week [5,17,19].…”

Section: Introductionmentioning

confidence: 99%

Utility of ultrasound for evaluating the appendix during the second and third trimester of pregnancy

et al. 2012

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This study aims to retrospectively evaluate the right lower quadrant ultrasounds in women presenting during the second or third trimester of pregnancy for the frequency of appendix visualization and accuracy in diagnosing appendicitis. Institutional Review Board approval was obtained for this Health Insurance Portability and Accountability Act-compliant study. We reviewed imaging records from 99 consecutive pregnant women from 2001 to 2011 who presented during the second (≥14 weeks gestation) or third trimester for right lower quadrant ultrasound to evaluate the appendix. Visualization of the appendix as well as the size and compressibility, if identified, were recorded. The medical records and labs related to the initial patient presentation, subsequent management, and follow-up were reviewed for surgical and clinical outcomes. Pathology records were reviewed to determine if appendicitis was present when appendectomy was performed. Patients who underwent appendectomy were considered to have appendicitis based on pathology results, and patients managed non-operatively with symptom improvement and those with a normal appendix at pathology were considered to not have appendicitis. During the study period, 99 women meeting inclusion criteria presented to our institution for right lower quadrant ultrasound to evaluate the appendix during the second or third trimester of pregnancy. The mean gestational age at presentation was 23 weeks (±7 weeks). The mean maternal age was 28 years (±6.6 years). The appendix was not visualized in 97% (96/99) of right lower quadrant ultrasound examinations. Of the three studies in which the appendix was visualized, two were considered positive for appendicitis and one was considered negative. Eight patients in this group ultimately underwent appendectomy, including the two patients with positive right lower quadrant ultrasounds, and appendicitis confirmed at pathology in seven of these cases (87.5%). Right lower quadrant ultrasound successfully demonstrated an abnormal appendix in 28.7% (two of seven) of surgically confirmed cases; however, this technique did not detect appendicitis in 71% (five of seven) of patients with surgically proven disease due to nonvisualization of the appendix. Retrospective review of right lower quadrant ultrasounds performed during the second and third trimester of pregnancy suggests that this modality has limited utility for diagnosing appendicitis due to infrequent visualization of the appendix.

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Acute Appendicitis in Pregnancy

Cited by 35 publications

References 17 publications

A case series of 46 appendectomies during pregnancy

A case series of 46 appendectomies during pregnancy

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Utility of ultrasound for evaluating the appendix during the second and third trimester of pregnancy

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