Surgical Conditions Complicating Pregnancy Part 1. Acute Appendicitis — Real and Simulated

O’Neill, James Paul

doi:10.1111/j.1479-828x.1969.tb02537.x

Cited by 16 publications

(4 citation statements)

References 12 publications

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“…A white cell count of up to 15.010 9 /L is a normal finding during pregnancy [2]. In our series only 21 patients (47%) had leukocytosis of more than 15.0 10 9 /L.…”

Section: Laboratory Resultscontrasting

confidence: 41%

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Acute Appendicitis Complicating Pregnancy

et al. 1991

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Appendicitis occurring during pregnancy presents a difficult problem for both the treating gynecologist and the surgeon. We studied retrospectively the cases of 52 consecutive patients seen during a four-year period at Riyadh Central Hospital, a large and busy general hospital. The incidence of appendicitis in various stages of pregnancy, along with its symptomatology, physical signs, laboratory results, and operative findings, were analyzed. The rates of complications, especially maternal and fetal mortality, were also analyzed and findings compared with those reported elsewhere. There was no maternal mortality and a 4% fetal mortality. We concluded that an aggressive approach in the diagnosis and surgical management of these patients reduces the maternal and fetal mortality.

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“…A white cell count of up to 15.010 9 /L is a normal finding during pregnancy [2]. In our series only 21 patients (47%) had leukocytosis of more than 15.0 10 9 /L.…”

Section: Laboratory Resultscontrasting

confidence: 41%

“…Hin-shaw, in 1963, [16] found the mortality to be less than 2% in the first two trimesters, increasing to 16% in the third. O'Neill, in 1969, [2] found a maternal mortality of 1.5% in his series of 62 patients.…”

Section: Discussionmentioning

confidence: 90%

Acute Appendicitis Complicating Pregnancy

et al. 1991

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“…Leukocyte count more than 15,000/mm 3 is accepted as normal during pregnancy [12]. In our series, leukocyte count ranged from 6,400 to 27,200/mm 3 and 91.6% of our patients had counts of more than 10,000/mm 3 and 37.5% of patients had counts of more than 15,000/mm 3 .…”

Section: Discussionmentioning

confidence: 91%

Acute Appendicitis during Pregnancy

et al. 2002

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Background: To analyze the diagnosis and surgical treatment of acute appendicitis during pregnancy. Methods: The records of 24 pregnant patients who underwent surgery with preliminary diagnosis of acute appendicitis between January 1990 and July 2000 were reviewed retrospectively. Results: Between January 1990 and July 2000, there were 31,480 deliveries and the incidence of acute appendicitis was 1/1,312. Twenty patients had pathologically proven acute appendicitis (83.3%). Of the remaining 4 patients, one had hemorrhagic ovarian cyst, one had ovarian cyst rupture and in two cases no surgical pathology was diagnosed. Gestational stage at the diagnosis was first trimester in 7 patients, second trimester in 12 patients and third trimester in 5 patients. Five patients had abortions and premature delivery occurred in 2 patients. Conclusion: Diagnosis of acute appendicitis is difficult in pregnancy. Delay in diagnosis and surgery results in increase in complications. Emergency surgical intervention should be performed when acute appendicitis is suspected during pregnancy.

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“…Previous studies reported fetal loss rates as high as 12%; however, women with a high baseline risk of fetal loss (i.e. cervical cerclage) were often included in these analyses, making a comparative discussion on fetal loss very difficult 1,5,12 …”

Section: Discussionmentioning

confidence: 99%