Risk Factors Associated with Acute Appendicitis in Pregnancy

Author(s): Mojtaba Ahmadinejad, Seyed Mozaffar Hashemi*, Mahnaz Jamee

Journal Name: Current Women`s Health Reviews

Volume 17 , Issue 4 , 2021


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Abstract:

Background: Acute appendicitis has been considered as the most common non-obstetric indication that requires surgical intervention in pregnant women.

Objective: The aim of this study is to compare clinical manifestations and para-clinical indices between pregnant and non-pregnant patients who have undergone appendectomy.

Methods: In this prospective cohort study, 57 pregnant and non-pregnant women presenting appendicitis were compared in terms of diagnostic indicators, histopathological characteristics and laboratory findings.

Results: Periumbilical region was the point of initiation of the pain; however, it was more prominent in non-pregnant women. Similarly, tenderness in RLQ (right lower quadrant) of the abdomen was more detectable in the non-pregnant group, and some of the cases showed no rebound tenderness. Pregnant women with appendicitis presented an abnormal increase in the WBC count.

Conclusion: Pregnancy and appendicitis-related signs and symptoms have similarity among them. Due to pregnancy, the physical examination might not present an exact diagnosis; therefore, pregnant women susceptible to have appendicitis must undergo a complete and careful on-time examination that includes ultrasound and labs.

Keywords: Acute appendicitis, pregnancy, periumbilical, non-pregnant, obstetric, RLQ.

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Article Details

VOLUME: 17
ISSUE: 4
Year: 2021
Published on: 12 October, 2020
Page: [339 - 343]
Pages: 5
DOI: 10.2174/1573404816999201012194315
Price: $95

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