Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12188/8600
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,
pregnancy,
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.
URI: http://hdl.handle.net/20.500.12188/8600
Appears in Collections:Faculty of Medicine: Journal Articles

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