Please use this identifier to cite or link to this item:
Title: Acute appendicitis in the third trimester of a pregnancy finished with spontaneous vaginal delivery
Authors: Milkovski Daniel
Georgievska, Jadranka 
Jovanovska Viktorija
Simeonova Slagjana
Aluloski Igor
Samardziski Igor
Ognenovic Ljubo
Kjaev Ivo
Mida Isa
Keywords: appendectomy,
cesarean section,
diffuse peritonitis,
third trimester
Issue Date: 2018
Publisher: Asclepius
Journal: Clinical Research in Obstetrics and Gynecology
Abstract: Acute appendicitis is the most common surgical problem occurring during pregnancy. Its incidence is more common in the second trimester and is confirmed in 1/1000 pregnancies. Clinical manifestations of acute appendicitis in pregnant patients are generally very similar to non- pregnant patients. We present, here, the case of a 29-year-old pregnant patient at 35+4 weeks of gestation with the signs of acute appendicitis. The patient underwent a successful open appendectomy of her perforated appendix, without performing a cesarean section (CS) at the same time. 5 weeks postoperatively, at term, labor was induced with vaginal prostaglandins and the patient delivered a healthy female baby without any complications. Immediate diagnosis of acute appendicitis during pregnancy is recommended and management with the suitable surgical intervention should not be delayed for >24 h as it increases the risk of perforation with its subsequent critical complications. The treatment of acute appendicitis is always surgical, with an appendectomy and perioperative broad-spectrum antibiotics. Except in cases of high maternal and fetal mortality, a CS should not be done simultaneously with the appendectomy in cases of a perforated appendix with diffuse peritonitis, due to the very high risk of dehiscence of the uterus.
Appears in Collections:Faculty of Medicine: Journal Articles

Files in This Item:
File Description SizeFormat 
Clinical Research in Obstetrics and Gynecology.pdf208.6 kBAdobe PDFThumbnail
Show full item record

Page view(s)

checked on Jul 10, 2020


checked on Jul 10, 2020

Google ScholarTM


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.