Appendicitis in pregnancy: New information that contradicts long-held clinical beliefs

Mourad, J.; Elliott, John P.; Erickson, Laurie; Lisboa, Luis Fernando

doi:10.1067/mob.2000.105396

Cited by 264 publications

(192 citation statements)

References 8 publications

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“…Similarly, increased temperature and higher CRP do not always facilitate proper diagnosis [18,19]. Electrolytes and parameters of kidney function are better in that respect.…”

Section: Discussionmentioning

confidence: 99%

Mechanical small bowel obstruction as a complication of pregnancy

Adamczyk-Gruszka¹,

Lewandowska-Andruszuk²,

Głuszek³

et al. 2015

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Abdominal pain is a common complaint in pregnancy. Intestinal obstruction reported in pregnancy varies, ranging from 1 in 1500 to 1 in 66431 pregnancies. Unfortunately, "dormant alertness" can lead to delayed surgical intervention, which in turn can increase the risk of complications that pose a threat to the mother as well as her foetus. The paper presents a case of a 23-year-old pregnant woman diagnosed with mechanical small bowel obstruction in 27 hbd, which required surgical emergency operation. The necrotic loop of the small intestine was resected. Despite tocolysis, which was necessary on the second day following the surgery, the patient was discharged home in good condition, with her pregnancy intact.

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“…Similarly, increased temperature and higher CRP do not always facilitate proper diagnosis [18,19]. Electrolytes and parameters of kidney function are better in that respect.…”

Section: Discussionmentioning

confidence: 99%

Mechanical small bowel obstruction as a complication of pregnancy

Adamczyk-Gruszka¹,

Lewandowska-Andruszuk²,

Głuszek³

et al. 2015

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“…The risk of preterm labor is greatest during the first week after surgery, but preterm delivery is rare. [4,8] Furthermore, increasing gestational age reduces diagnostic accuracy and is associated with increased rates of appendiceal perforation and hence complications. [2,9] We operated the patients in our series within 12 hours.…”

Section: Discussionmentioning

confidence: 99%

Management of Acute Appendicitis in Pregnancy

Kapan¹,

Bozkurt²,

Turhan³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…Es más frecuente en los 2 primeros trimestres de la gestación con un predominio en el 2 do. Trimestre 16,17 . La modificación de la anatomía por el crecimiento uterino hace que en ocasiones en el embarazo próximo al término, el epiplón e intestino delgado sean desplazados lejos del apéndice y por tanto, impiden la limitación de la infección en caso de perforación, con derramamiento de pus en la cavidad peritoneal.…”

Section: Apendicitis Aguda En El Embarazounclassified

Surgical pathologies in pregnancy

Olmedo

Segovia

2016

Rev. Nac. (Itauguá)

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Introducción: una de cada 50 mujeres presentará durante su embarazo dolor abdominal potencialmente quirúrgico y una de cada 600 mujeres embarazadas requerirá de cirugía abdominal no obstétrica durante el embarazo. Objetivos: determinar la frecuencia y características demográficas y clínicas de patologías quirúrgicas durante el embarazo en pacientes internadas en el Hospital Nacional del año 2010 al 2014. Metodología: diseño observacional, descriptivo, retrospectivo de corte trasversal. Población estudiada: gestantes y/o puérperas atendidas en el Hospital Nacional con diagnóstico de patologías quirúrgicas durante los años 2010-2014. Muestreo no probabilístico según criterio. Resultados: se hallaron76 mujeres (0,5%) con patologías quirúrgicas, la edad media fue 27 ± 6,2 años. La litiasis vesicular y la apendicitis aguda fueron las más frecuentes. La media de edad gestacional fue 28 ± 9,4 semanas. Las complicaciones fueron abdomen agudo y pancreatitis aguda, requiriendo cirugía 39(51,3%) pacientes. Conclusiones: la frecuencia de patologías quirúrgicas fue menor al 1%, las patologías biliares y apendiculares fueron las más frecuentes.Palabras claves: apendicitis aguda, colecistitis aguda, pancreatitis aguda, embarazo. ABSTRACT Introduction:One in 50 women during pregnancy will potentially present surgical abdominal pain and one of every 600 pregnant women will require nonobstetric abdominal surgery during pregnancy. To determine the frequency and types of surgical pathologies during pregnancy in patients hospitalized in the National Hospital from 2010 to 2014. Methodology: observational, descriptive, retrospective study cross-sectional. Population studied pregnant and / or postpartum women treated at the National Hospital with a diagnosis of surgical pathologies during the years 2010-2014, no probabilistic sampling according to criteria. Results: 76 (0.5%) with surgical pathologies, median age were found: 27 ± 6.2 years, Cholelithiasis and acute appendicitis were the most frequent. Median gestational age was 28 ± 9.4 weeks. The complication were acute abdominal patology and acute pancreatitis, requiring surgery 39 (51.3%) patients. Conclusions: The frequency of surgical pathologies were less than 1%, biliary and appendicular pathology were the most frequent.

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Appendicitis in pregnancy: New information that contradicts long-held clinical beliefs

Cited by 264 publications

References 8 publications

Mechanical small bowel obstruction as a complication of pregnancy

Mechanical small bowel obstruction as a complication of pregnancy

Management of Acute Appendicitis in Pregnancy

Surgical pathologies in pregnancy

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