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2020, Number 07

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Revista Médica Sinergia 2020; 5 (07)

Appendicitis in pregnancy

Barrantes AGJ, Varela MAC, Arias VR
Full text How to cite this article

Language: Spanish
References: 33
Page: 1-12
PDF size: 137.32 Kb.


Key words:

appendicitis, abdominal pain, pregnancy, appendectomy, laparoscopy.

ABSTRACT

Acute appendicitis stands out as the most frequent non-obstetric surgical emergency during pregnancy. Its diagnostic approach represents a challenge, since due to the physiological and anatomical changes typical of pregnancy, the symptoms are usually not as clear. Despite the fact that the diagnosis is based on clinical and laboratory values, pregnant patients may not present the classic findings of acute appendicitis, so imaging studies are essential in case of diagnostic doubt. The definitive treatment for acute appendicitis is appendectomy, either open or laparoscopic, associated with the administration of broad-spectrum prophylactic antibiotics. This pathology must be addressed in a timely manner, since the delay in its management is associated with adverse maternal and fetal outcomes.


REFERENCES

  1. Sellars H, Boorman P. Acute appendicitis. Surgery. 2017; 35(8):432-438. https://doi.org/10.1016/j.mpsur.2017.06.002

  2. Zachariah S, Fenn M, Jacob K, Arthungal S, Zachariah S. Management of acute abdomen in pregnancy: current perspectives. Int J Womens Health. 2019; 11:119–134. Published 2019 Feb 8. https://doi.org/10.2147/IJWH.S151501

  3. Salas E. Revisión de apendicitis aguda en casos de difícil diagnóstico. Revista Médica de Costa Rica y Centroamérica. 2015; 72(615):395-399.

  4. Masselli G, Derme M, Laghi F, Framarino-dei-Malatesta M, Gualdi G. Evaluating the Acute Abdomen in the Pregnant Patient. Radiol Clin N Am. 2015; 53(6):1309-1325. http://dx.doi.org/10.1016/j.rcl.2015.06.013

  5. Baird D, Simillis C, Kontovounisios C, Rasheed S, Tekkis P. Acute appendicitis. BMJ. 2017; 357 :j1703. https://doi.org/10.1136/bmj.j1703

  6. Muñoz A, Stanford L. Apendicitis: Apendicectomía Laparoscópica. Revista Médica de Costa Rica y Centroamérica. 2015; 72(615):311 – 315.

  7. Blears E, Keller D, Ellis C. Review of Operative vs. Non-Operative Management of Appendicitis in Pregnancy. Surgery Curr Res. 2017; 7(2):1-7. https://doi.org/10.4172/2161-1076.1000287

  8. Mukherjee R, Aamanta S. Surgical emergencies in pregnancy in the era of modern diagnostics and treatment. Taiwan J Obstet Gyne. 2019; 58(2):177-182. https://doi.org/10.1016/j.tjog.2019.01.001

  9. Docimo S, Pauli E. Clinical Algorithms in General Surgery. Springer Nature. Switzerland. 1st Edition, 2019. https://doi.org/10.1007/978-3-319-98497-1

  10. Tase A, Aizat M, Swarnkar K. Appendicitis in pregnancy: Difficulties in diagnosis and management. Guidance for the emergency general surgeon: A systematic review. Int J Surg Open. 2017; 6:5-11. https://doi.org/10.1016/j.ijso.2017.02.001

  11. Scherer L, Zappolo K. Pregnancy Disasters in the First Trimester. Physician Assist Clin. 2017, 2:385–400. http://dx.doi.org/10.1016/j.cpha.2017.02.004

  12. Franca Neto A, Amorim M, Nóbrega B. Acute appendicitis in pregnancy: literature review. Rev Assoc Med Bras. 2015 61(2):170-177. doi: 10.1590/1806-9282.61.02.170.

  13. Wagner M, Tubre D. Evolution and Current Trends in the Management of Acute Appendicitis. Surg Clin N Am. 2018; 98(5):1005–1023. https://doi.org/10.1016/j.suc.2018.05.006

  14. Lee S, Lee J, Choi Y, Lee J. Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: a systematic review and updated metaanalysis. BMC Surg. 2019; 19(41):1-12. https://doi.org/10.1186/s12893-019-0505-9

  15. Bouyou J, Gaujoux S, Marcellin L, Leconte M, Goffinet F, Chapron C, et al. Abdominal emergencies during pregnancy. J Visc Surg. 2015; 152(6):S105-115. http://dx.doi.org/10.1016/j.jviscsurg.2015.09.017

  16. Pinas-Carrillo A, Chandraharan E. Abdominal pain in pregnancy: a rational approach to management. Obstet Gynaecol Reprod Med. 2017; 27(4):112–119. https://doi.org/10.1016/j.ogrm.2017.01.009

  17. Selzer D, Stefanidis D. Surgical Emergencies in the Pregnant Patient. Adv Surg. 2019; 53:161– 177. https://doi.org/10.1016/j.yasu.2019.04.008

  18. Chilaka C, Walker K. Abdominal pain in late pregnancy. Obstet Gynaecol Reprod Med. 2019; 29(12):331–341. https://doi.org/10.1016/j.ogrm.2019.09.001

  19. Ditkofsky N, Singh A. Challenges in Magnetic Resonance Imaging for Suspected Acute Appendicitis in Pregnant Patients. Curr Probl Diagn Radiol. 2015; 44(4):297-302. https://doi.org/10.1067/j.cpradiol.2015.01.001

  20. Kanmaniraja D, Moreno C, Moreno R, Shah S. The appendix. In Cross-Sectional Imaging of the Abdomen and Pelvis: A Practical Algorithmic Approach. New York: Springer. 2015. p. 403- 415. https://doi.org/10.1007/978-1-4939-1884-3_13

  21. Patel N, Wenzke D. Evaluating the Patient with Right Lower Quadrant Pain. Radiol Clin N Am. 2015; 53(6):1-12. http://dx.doi.org/10.1016/j.rcl.2015.06.004

  22. Abdul Mahadi A. Surgical and Clinical Review of Acute Appendicitis. Int J Multidiscip Curr Res. 2016; 4:280-287.

  23. Ghali M, Kaabia O, Mefteh Z, Jgham M, Tej A, Sghayer A, et al. Acute appendicitis complicating pregnancy: a 33 case series, diagnosis and management, features, maternal and neonatal outcomes. Pan Afr Med J. 2018; 30(212):1-9. https://doi.org/10.11604/pamj.2018.30.212.14515

  24. Theilen L, Mellnick V, Shanks A, Tuuli M, Odibo A, Macones G, et al. Acute Appendicitis in Pregnancy: Predictive Clinical Factors and Pregnancy Outcomes. Am J Perinatol. 2017; 34(6):523-528. https://doi.org/10.1055/s-0036-1593764

  25. Aggenbach L, Zeeman G, Cantineau A, Gordijn S, Hofker H. Impact of appendicitis during pregnancy: no delay in accurate diagnosis and treatment. Int J Surg. 2015; 15:84-89. https://doi.org/10.1016/j.ijsu.2015.01.025

  26. Huchon C, Fauconnier A. Dolor pélvico agudo en la mujer: orientación diagnóstica y conducta práctica. EMC-Ginecología-Obstetricia. 2018; 54(1); 1-14. https://doi.org/10.1016/S1283- 081X(18)88084-5

  27. Mangal R, Stead T, Ganti L, Rosario J. Diagnosing Appendicitis in Pregnancy Via Ultrasonography. Cureus. 2019; ;11(9):e5562. https://doi.org/10.7759/cureus.5562

  28. Barahona D, Schiappacasse G, Labra A, Soffia P. Abdomen agudo en el embarazo. Evaluación por resonancia magnética. Rev Chil Radiol. 2015; 21(2):70-75. http://dx.doi.org/10.4067/S0717- 93082015000200007

  29. Kerechi B, Lee K, Siewert B, Mortele K. Clinical utility of magnetic resonance imaging in the evaluation of pregnant females with suspected acute appendicitis. Abdom Radiol. 2018; 43(6):1446-1455. https://doi.org/10.1007/s00261-017-1300-7

  30. Ball E, Waters N, Cooper N, Talati C, Mallick R, Rabas S, et al. Evidence-Based Guideline on Laparoscopy in Pregnancy: Commissioned by the British Society for Gynaecological Endoscopy (BSGE) Endorsed by the Royal College of Obstetricians & Gynaecologists (RCOG).Facts Views Vis Obgyn. 2019; 11(1):5-25

  31. Prodromidou A, Machairas N, Kostakis I, Molmenti E, Spartalis E, Kakkos A, et al. Outcomes after open and laparoscopic appendectomy during pregnancy: A meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2018; 225:40-50. doi: https://doi.org/10.1016/j.ejogrb.2018.04.010

  32. Barber-Millet S, Bueno J, Granero P, Gómez I, Ballester N, García R. Actualización en el manejo del abdomen agudo no obstétrico en la paciente gestante. Cir Esp. 2016; 94(5):257- 265. https://doi.org/10.1016/j.ciresp.2015.11.001

  33. Tolcher M, Fisher W, Clark S. Cirugía no obstétrica durante el embarazo. Obstet Gynecol. 2018; 132:395-403. https://doi.org/10.1097/AOG.0000000000002748




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Revista Médica Sinergia. 2020;5