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Acute appendicitis in pregnancy

Author: 
Tolga Canbak, Aylin Acar, Huseyin Kerem Tolan and Kemal Tekesin

Introduction: In this study, patients operated due to acute appendicitis were discussed in the light of the literature.
Material&Methods: Patients operated due to acute appendicitis between January 2010 and December 2014 were retrospectively evaluated. All patients were assessed by the gynecologist and the general surgeon both before and after the operation. All the patients were ultra sounded. Patients’ demographics, physical examination findings, trimesters, complaints of presentation, presence of leukocytosis, ultra sonography results, postoperative complications and histopathological examination results were evaluated. The differences were considered statistically significant, if the p value was lessthan 0.05.
Results: A total of 712 patients in reproductive age group were operated due to appendicitis between January 2010 and December 2014. Twenty-four patients were pregnant. The mean age was 25.58. All patients had abdominal tenderness, and the second and third most common physical examination findings were defence and rebound. On laboratory examination, the mean leukocyte count was 13,400; 10 patients (41.6%) had leukocytosis. Ultrasonographic examination revealed acute appendicitis in 11 patients (45.8%). Three patients underwent laparoscopic operations. The mean gestational duration was 14.3 weeks. Histopathologic examinationre vealed acute appendicitis in 20 patients. The mean duration of postoperative hospitalization was 2.1days. No morbidity and uterineinjury were observed.
Conclusion: Delayed diagnosis of acute appendicitis due to physiological changes occurring during pregnancy and having different symptoms cause mortality for the mother and the fetus. A rapid, rational and multidisciplinary approach can minimize maternal and fetal morbidity and mortality in pregnant women with suspected cute appendicitis.

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