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Chapter 23 - Appendicitis in Pregnancy

from Section 2 - Infections in Pregnancy

Published online by Cambridge University Press:  11 October 2019

By
Christine Helmy Samuel Azer
Edited by
Adel Elkady ,
Prabha Sinha  and
Soad Ali Zaki Hassan
Adel Elkady
Affiliation:
Police Force Hospital, Cairo
Prabha Sinha
Affiliation:
Oman Medical College, Oman
Soad Ali Zaki Hassan
Affiliation:
Alexandria University
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Summary

Appendicitis is the most common surgical emergency during pregnancy. It accounts for 25 per cent of surgeries for non-obstetric causes. The incidence is around 1/766 live births.

Although it can occur at any time during pregnancy or postpartum period, it most commonly occurs in the second trimester.

Complication rate is higher if presented in the third trimester due to the delay in diagnosis and the decision on surgery which increases the rate of appendix rupture.

Type
Chapter
Information
Infections in Pregnancy
An Evidence-Based Approach
 , pp. 139 - 142
Publisher: Cambridge University Press
Print publication year: 2019

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References

Andersen, B, Nielsen, TF. Appendicitis in pregnancy: diagnosis, management and complications. Acta Obstet Gynecol Scand. 1999; 78(9): 758–62.Google Scholar
Choi, JJ, Mustafa, R, Lynn, ET, Divino, CMJ. Appendectomy during pregnancy. Am Coll Surg. 2011; 213(5): 627.Google Scholar
Pastore, PA, Loomis, DM. Appendicitis in pregnancy. Br J Surg. 2012; 99(11): 1470–8.Google Scholar
Basaran, A, Basaran, M. Diagnosis of acute appendicitis during pregnancy: a systematic review. Obstet Gynecol Surv. 2009; 64(7): 481.Google Scholar
Meesa, IR, Mammen, L. MR imaging of pregnant women with abdominal pain and suspected appendicitis: diagnostic accuracy and outcomes. Int J Radiol Radiat Oncol. 2016; 2: 004–007.Google Scholar
Burns, M, Hague, CJ. Utility of magnetic resonance imaging for the diagnosis of appendicitis during pregnancy: a Canadian experience. Can Assoc Radiol J. 2017; 68(4): 392–400.Google Scholar
Ramalingam, V, LeBedis, C, Kelly, JR, Uyeda, J, Soto, JA, Anderson, SW. Evaluation of a sequential multi-modality imaging algorithm for the diagnosis of acute appendicitis in the pregnant female. Emerg Radiol. 2015; 22(2): 125–32.Google Scholar
Zhang, Y, Zhao, YY, Qiao, J, Ye, RH. Diagnosis of appendicitis during pregnancy and perinatal outcome in the late pregnancy. Chi Med J. 2009; 122(5): 521–4.Google ScholarPubMed
Zingone, F, Alyshah, S, Humes, A, West, DJ, Joe, BMBS.Risk of acute appendicitis in and around pregnancy: a population-based cohort study from England. Ann Surg. 2015; 261(2): 332–7.Google Scholar
Chawla, S, Vardhan, S, Jog, SS. Appendicitis during pregnancy. Med J Armed Forces India. 2003; 59(3): 212–15.Google Scholar
Machado, NO, Grant, CS. Laparoscopic appendicectomy in all trimesters of pregnancy. JSLS. 2009; 13(3): 384–90.Google ScholarPubMed
Alkatary, MM, Bahgat, NA. Laparoscopic versus open appendectomy during pregnancy. Int Surg J. 2017; 4(8): 2387–91.Google Scholar
Laustsen, JF, Bjerring, OS, Johannessen, O, Qvist, N. Laparoscopic appendectomy during pregnancy is safe for both the mother and the fetus. Dan Med J. 2016; 63(8): A5259.Google ScholarPubMed
Young, BC, Hamar, BD, Levine, D, Roqué, H. Medical management of ruptured appendicitis in pregnancy. Obstet Gynecol. 2009; 114(2 Pt 2): 453–6.CrossRefGoogle ScholarPubMed
Eriksson, S, Granström, L. Randomized controlled trial of appendicectomy versus antibiotic therapy for acute appendicitis. Br J Surg. 1995; 82(2): 166–9.Google Scholar

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