Acute Appendicitis in Pregnancy

A retrospective study of appendicitis in pregnancy in Aberdeen has been performed. The incidence, symptoms, findings at laparotomy and outcome are described. Delay in diagnosis is stressed as the causal factor in increased maternal morbidity and high neonatal mortality.

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Outcome of pregnancy with acute appendicitis–a retrospective study

International Surgery Journal ◽

10.18203/2349-2902.isj20210386 ◽

2021 ◽

Vol 8 (2) ◽

pp. 692

Author(s):

Suraj Bhardwaj ◽

Shuchi Sharma ◽

Vatika Bhardwaj ◽

Roshan Lal

Keyword(s):

Retrospective Study ◽

Acute Appendicitis ◽

Maternal Morbidity ◽

Surgical Intervention ◽

Imaging Studies ◽

Open Technique ◽

Medical College ◽

Laboratory Examinations ◽

Operative Findings ◽

Early Surgical Intervention

Acute appendicitis is the most common surgical non-gynaecological pathology during pregnancy. In this study, pregnant patients admitted with diagnosis of acute appendicitis in the last two years were evaluated retrospectively. Aim was to study the outcome of pregnancy with acute appendicitis. This was a retrospective study done on pregnant patients with acute appendicitis admitted between october 2017 and September 2019 in SLBS Government Medical College and Hospital, Mandi, HP. 7 pregnant patients were admitted for acute appendicitis. Patients were evaluated regarding age, gestational age, clinical and laboratory examinations, imaging studies, operative findings, mean hospital stay and outcome. In 4 out of 7 patients, acute appendicitis was confirmed and appendicectomy was performed. All of them were operated with open technique. There was no fetal or maternal morbidity or mortality in any patient. All patients delivered healthy babies during the postoperative course. Early surgical intervention is indicated if acute appendicitis is suspected. Pregnancy is not a reason to delay surgery.

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Acute Appendicitis - Diagnostic Value of Direct and Indirect Ultrasonographic Signs - A Retrospective Study in Bangalore Rural

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2021/13 ◽

2021 ◽

Vol 8 (02) ◽

pp. 64-68

Author(s):

Prashanth Venkateswaran ◽

Vinjamuri Anuradha ◽

Puneet Shirbur

Keyword(s):

Retrospective Study ◽

Acute Appendicitis ◽

Iliac Fossa ◽

Diagnostic Value ◽

Good Prognosis ◽

Free Fluid ◽

Age Group ◽

Delay In Diagnosis ◽

Adult Age ◽

Mesenteric Fat

BACKGROUND Acute appendicitis is one of the commonest causes of pain abdomen. Appendicitis has a good prognosis but a delay in diagnosis may result in risk of perforation, peritonitis, abscess formation, sepsis, and even death. METHODS A retrospective study was conducted from December 2019 to April 2020 in MVJ Medical College and the pre-operative ultrasonographic images of all the patients who underwent surgery for suspected acute appendicitis were reviewed. A total of 50 such cases were found and included in the study. The direct signs were enlarged appendix, hyperaemia of wall of appendix, non-compressibility and appendicolith. The indirect signs were increased echogenicity and thickening of mesenteric fat in right iliac fossa (RIF), increased vascularity in RIF, thickening of caecal wall, RIF probe tenderness, free fluid in the RIF and mesenteric lymphadenopathy. RESULTS 32 (64 %) were in the adult age group and 18 (36 %) patients were in the paediatric age group (below 18 years); the mean age was 38 years. 68 % (34) of the study population were males and 32 % (16) were females. At least one direct sign was present in 86 % of the cases, 2 and 3 direct signs were seen in 80 % and 56 % of the cases respectively. At least 1 indirect sign was noted in 97 % of the cases, 2 and 3 indirect signs were seen in 90 % and 70 % of the cases respectively. 2 cases had no indirect signs and all indirect signs were present in none of the cases studied. In the absence of direct signs, RIF probe tenderness (98 %) and increased echogenicity & thickness of mesenteric fat in RIF (86 %) were the most noted indirect signs in acute appendicitis. CONCLUSIONS There was a high incidence of indirect ultrasonography (USG) signs, of which the sign with maximum incidence was probe tenderness in 98 % of the cases, and increased mesenteric fat echogenicity in the RIF in 86 %. Among direct signs of acute appendicitis enlarged appendix (95 %) had the highest incidence followed by non-compressibility of appendix (90 %). KEYWORDS Acute Appendicitis, Ultrasound

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Schistosomal Appendicitis in Pregnancy

Swiss Surgery ◽

10.1024/1023-9332.8.3.121 ◽

2002 ◽

Vol 8 (3) ◽

pp. 121-122 ◽

Cited By ~ 9

Author(s):

Halkic ◽

Abdelmoumene ◽

Gintzburger ◽

Mosimann

Keyword(s):

Acute Appendicitis ◽

Schistosoma Haematobium ◽

Acute Inflammation ◽

The Body ◽

Parasitic Infections ◽

Common Complication ◽

Surgical Infection ◽

High Prevalence ◽

Potential Challenge ◽

In Pregnancy

Acute appendicitis is the most common acute surgical infection during pregnancy. Although usually pyogenic in origin, parasitic infections account for a small percentage of cases. Despite the relatively high prevalence of acute appendicitis in our environment, it is not commonly associated with schistosomiasis. We report here the association of pregnancy and appendicitis caused by Schistosoma haematobium. Schistosomiasis is very common complication of pregnancy in hyperendemic areas. Schistosome egg masses can lodge throughout the body and cause acute inflammation of the appendix, liver and spleen. Congestion of pelvic vessels during pregnancy facilitates passage of eggs into the villi and intervillous spaces, causing an inflammatory reaction. Tourism and immigration make this disease a potential challenge for practitioners everywhere.

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Coronavirus disease 2019 in pregnancy was associated with maternal morbidity and preterm birth

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2021.01.007 ◽

2021 ◽

Author(s):

Rasha A. Al-Lami ◽

Ali M. Alrammahi ◽

Ammar M.A. Algburi

Keyword(s):

Preterm Birth ◽

Maternal Morbidity ◽

In Pregnancy

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Appendiceal Neuroendocrine Tumours - Experience of One Service

Journal of Coloproctology ◽

10.1055/s-0041-1724064 ◽

2021 ◽

Author(s):

Vítor Devezas ◽

Laura Elisabete Barbosa

Keyword(s):

Retrospective Study ◽

Acute Appendicitis ◽

Neuroendocrine Tumours ◽

Adult Population ◽

Right Hemicolectomy ◽

Good Prognosis ◽

Alive Today

AbstractTumours of the appendix are rare and tend to be diagnosed incidentally, in cases of acute appendicitis. For some authors, appendiceal neuroendocrine tumours (ANETs) are the most frequent neoplasm of the appendix, observed in 0.3% to 0.9% of cases acute appendicitis. The present is a unicentric retrospective study conducted between January 2005 and March 2017. Out of a total of 3,007 surgeries for appendiceal pathologies performed in the adult population at the hospital where the present study was conducted, there were 70 (2.33%) malignant cases, 20 (28.6%) of which were ANETs. The patients had a median age of 44 years (range: 18 to 85 years), and were predominantly women (there were 1.9 times more women than men). In 16 cases (80%), a simple appendicectomy was performed (1 patient was submitted to a right hemicolectomy later). The cases of ANETs had a good prognosis in our series: 85% of the patients are either alive today or were alive after 5 years of follow-up. Despite the fact that ANETs are described as the most frequent tumor of the appendix, this was not confirmed in our series, in which they only represented 28.6% of the cases; adenocarcinoma was the most frequent tumor (65.7%) among our sample.

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