Acute appendicitis during pregnancy. Diagnosis and management

M. D. Horowitz, G. A. Gomez, R. Santiesteban, Gene Burkett

Research output: Contribution to journalArticle

99 Citations (Scopus)

Abstract

Twelve patients underwent appendectomy during pregnancy or in the puerperium. The clinical presentation of acute appendicitis is altered during gestation, and diagnosis becomes increasingly difficult when close to term. Abdominal pain, nausea, and vomiting are important symptoms. Peritoneal signs occur in the right lower quadrant early in pregnancy, but the upper quadrant or entire right side are more common locations, as the appendix is displaced upward by the enlarging uterus. Delay in treatment is common because of uncertainty in making the diagnosis and hesitancy to proceed with surgery. In the group of six patients with perforation, there was one maternal death and a loss of three fetuses. There were no complications in the absence of perforation. Prompt diagnosis is the cornerstone of a good outcome, and early surgical intervention is indicated if acute appendicitis is suspected. Pregnancy is not a reason to delay surgery. We review the literature on this topic and present and analyze principles of management.

Original languageEnglish
Pages (from-to)1362-1367
Number of pages6
JournalArchives of Surgery
Volume120
Issue number12
StatePublished - Dec 1 1985

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Appendicitis
Pregnancy
Maternal Death
Appendectomy
Postpartum Period
Nausea
Abdominal Pain
Uncertainty
Uterus
Vomiting
Fetus
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Horowitz, M. D., Gomez, G. A., Santiesteban, R., & Burkett, G. (1985). Acute appendicitis during pregnancy. Diagnosis and management. Archives of Surgery, 120(12), 1362-1367.

Acute appendicitis during pregnancy. Diagnosis and management. / Horowitz, M. D.; Gomez, G. A.; Santiesteban, R.; Burkett, Gene.

In: Archives of Surgery, Vol. 120, No. 12, 01.12.1985, p. 1362-1367.

Research output: Contribution to journalArticle

Horowitz, MD, Gomez, GA, Santiesteban, R & Burkett, G 1985, 'Acute appendicitis during pregnancy. Diagnosis and management', Archives of Surgery, vol. 120, no. 12, pp. 1362-1367.
Horowitz MD, Gomez GA, Santiesteban R, Burkett G. Acute appendicitis during pregnancy. Diagnosis and management. Archives of Surgery. 1985 Dec 1;120(12):1362-1367.
Horowitz, M. D. ; Gomez, G. A. ; Santiesteban, R. ; Burkett, Gene. / Acute appendicitis during pregnancy. Diagnosis and management. In: Archives of Surgery. 1985 ; Vol. 120, No. 12. pp. 1362-1367.
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