Kapan Selin, Bozkurt Mehmet Abdussamet, Turhan Ahmet Nuray, Gönenç Murat, Alış Halil
Department of General Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2013 Jan;19(1):20-4. doi: 10.5505/tjtes.2013.81889.
Acute appendicitis is the most common surgical non-obstetric pathology during pregnancy. In this report, pregnant patients operated with a diagnosis of acute appendicitis in the last three years are evaluated retrospectively.
Between January 2009 and January 2011, 20 pregnant patients were operated for acute appendicitis. Patients were evaluated regarding age, gestational age, clinical and laboratory examinations, imaging studies, operative findings, mean hospital stay, mean operative time, and outcome.
In 17 of 20 patients, acute appendicitis was confirmed and appendectomy was performed. Ten of the patients were operated with laparoscopic technique and the remaining 10 had open appendectomy. There was no fetal or maternal morbidity or mortality in any patient. All 20 patients delivered healthy babies during the postoperative course.
Acute appendicitis is a challenging diagnosis in the pregnant patient; however, early surgical intervention should be performed with any suspicion. The type of surgery depends on the surgeon's preference and experience.
急性阑尾炎是孕期最常见的非产科外科疾病。在本报告中，对过去三年中诊断为急性阑尾炎并接受手术的孕妇进行回顾性评估。
2009年1月至2011年1月期间，20例孕妇因急性阑尾炎接受手术。对患者的年龄、孕周、临床和实验室检查、影像学检查、手术所见、平均住院时间、平均手术时间及结局进行评估。
20例患者中有17例确诊为急性阑尾炎并接受了阑尾切除术。其中10例患者采用腹腔镜技术手术，其余10例行开腹阑尾切除术。所有患者均未发生胎儿或母体并发症或死亡。20例患者术后均分娩出健康婴儿。
急性阑尾炎在孕妇中是一个具有挑战性的诊断；然而，一旦怀疑应尽早进行手术干预。手术方式取决于外科医生的偏好和经验。
