[Appendectomies for suspected acute appendicitis during pregnancy: experience at a Chilean public hospital].

Abstract:

BACKGROUND:Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. AIM:To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. PATIENTS AND METHODS:Data from all pregnant patients who were subjected to an appendectomy for a suspected acute appendicitis from January 1998 to December 2002, were retrospectively analyzed. All pathological, surgical, clinical records and the delivery outcome registry of each patient were reviewed. RESULTS:Among 47,322 deliveries, 46 pregnant women aged 29+/-9 years and with a gestational age of 21+/-7 weeks, were operated because of a presumptive acute appendicitis. Forty (87%) had a histopathologically proven appendicitis; ten (25%) cases had a perforated appendix and 30 (75%) had a non-perforated appendicitis. Five (10.9%) patients had a negative laparotomy and one had a necrotic ovarian tumor. Patients with perforated and non perforated appendices had a similar lapse from the onset of symptoms to operation (69+/-45 and 50+/-34 hours respectively, NS) and a similar white cell count (15,667+/-3,707 and 13,006+/-5,206 cells/mm(3), respectively, NS). Wound infection was the most common surgical complication in 15%. Seven (15%) patients had a premature delivery and there was one fetal death (2.2%). There were no pregnancy complications on negative appendectomy cases. CONCLUSIONS:Acute appendicitis continues to be a challenge in diagnosis and treatment during pregnancy. Maternal and fetal outcome was better than previously reported.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Butte JM,Bellolio MF,Fernández F,Sanhueza M,Báez S,Kusanovich R,Viñuela E,González R,Pruyas M,Díaz V,Martínez J

doi

10.4067/s0034-98872006000200002

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

145-51

issue

2

eissn

0034-9887

issn

0717-6163

pii

S0034-98872006000200002

journal_volume

134

pub_type

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