Acute appendicitis in pregnant women: A Case Report

• Main Authors: A. Cvetković-Vega, Wendy Nieto-Gutiérrez
• Format: Article
• Language: Spanish
• Published: Universidad Ricardo Palma 2020-07-01
• Series: Revista de la Facultad de Medicina Humana
• Subjects: appendicits; pregnancy; acute abdomen
• Online Access: http://revistas.urp.edu.pe/index.php/RFMH/article/view/3002

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.