ACUTE APPENDICITIS DURING PREGNANCY: NO PLACE FOR MAYBE

Ionuț Negoi1,2, Sorin Păun1,2, Sorin Hostiuc1,3, Alin Moldoveanu4, Mircea Beuran1,2

1Carol Davila University of Medicine and Pharmacy Bucharest, Romania
2General Surgery Department, Emergency Hospital of Bucharest
3National Institute of Legal Medicine Mina Minovici
4Polytechnic University of Bucharest, Faculty of Automatic Control and Computers, Bucharest, Romania

Corresponding author: Ionuț Negoi 
Phone no. 0040215992308
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Abstract

Acute appendicitis is the most common abdominal non-obstetrical emergency in pregnant women; its management however is supported by a low level of evidence. The main objective of this study was to evaluate the clinical management of pregnant women with acute appendicitis.We have reviewed the hospital database selecting the pregnant women with acute appendicitis managed in the last 24 months. 8 appendectomies were performed in pregnant women. Mean age was 27.2±6.1 years. All patients had a history of right lower abdominal pain of 36 hours or less. General anesthesia was used in 12.5% of cases and spinal anesthesia in the remaining of cases. In all cases appendectomy was performed through a McBurney’s incision with a mean operating time of 36.25 minutes. There was no maternal or fetal mortality.The diagnosis of acute appendicitis is challenging in pregnant women. A prompt, but a non-negative appendectomy should always be aimed, and no unecessary risks should be taken.

Keywordsacute appendicitis, pregnancy, surgery

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