Bolívar-Rodríguez MA, Cazarez-Aguilar MA, Ruiz-Morales JE, Fierro-López R, Basil-Detrell GA, Morgan-Ortiz F

Language: Spanish
References: 14
Page: 449-454
PDF size: 431.07 Kb.

ABSTRACT

Background: The acute appendicitis is the most common surgical emergency found by surgeons. It has a very low incidence during pregnancy (1 in 1500 cases) and it is even rarer that a carcinoid tumor presents as an acute appendicitis during pregnancy. The diagnosis of carcinoid tumor it’s done by histopathology and rarely suspected preoperatively. We report the case of a carcinoid tumor presenting as an acute appendicitis in a pregnant woman with 9-week gestation.
Case Report: 21-year-old pregnant woman with 9-week gestation by ultrasonography, which has a history of importance of a C-section 5 years ago. Starts with abdominal pain in epigastrium irradiated to right flank, nausea and vomiting, treated with medication without clinical improvement, admitted to the ER with signs of acute abdomen suggestive of appendicitis, being studied and treated surgically.
Conclusion: The carcinoid tumor during pregnancy can be presented as an acute appendicitis and it’s generally an incidental finding (80% of the cases) during the histopathology of the appendix, because of the lack of clinical signs that suggests a diagnostic preoperatively.

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