Revista de la Facultad de Medicina Humana (Jul 2020)

Acute appendicitis in pregnant women: A Case Report

  • A. Cvetković-Vega,
  • Wendy Nieto-Gutiérrez

DOI
https://doi.org/10.25176/RFMH.v20i3.3002
Journal volume & issue
Vol. 20, no. 3
pp. 521 – 524

Abstract

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Acute appendicitis is the most common pathology from acute abdomen during pregnancy, which hasa difficult diagnosis because of the physiological changes during pregnancy which results in confusingclinical presentations. We reported the case of a multiparous woman of 27 years with 22 3/7 weeksdiagnosed with acute appendicitis, undergoing surgery without complications and with a necrosedappendix that was evidenced through pathological examination. It is important to emphasis the roleof the anamnesis with the physical examination guided by the physiological pregnancy changesrelated to the appendix. A timely diagnosis and treatment with an interdisciplinary approach wouldsignificantly reduce the maternal-fetal risks related to this pathology, the appendix removal and thecontinuation of the pregnancy.

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