Department of General Surgery, Şanlıurfa Training and Research Hospital, Şanlıurfa-Turkey.
Department of General Surgery, Necmettin Erbakan University Meram Faculty of Medicine, Konya-Turkey.
Ulus Travma Acil Cerrahi Derg. 2021 Jan;27(1):85-88. doi: 10.14744/tjtes.2020.22792.
Acute appendicitis is the most common cause of non-obstetric acute abdomen in pregnant women. We examined the patients who were admitted to our emergency department with abdominal pain and diagnosed with acute appendicitis in the light of the literature.
Seventeen pregnant patients with acute appendicitis who were admitted to the emergency department of Sanliurfa Training and Research Hospital between the years of 2016-2019 were retrospectively analyzed using an electronic recording system. Our patients were evaluated concerning age, gestational week, clinical status, the operation performed, ultrasonography results, pathology results, presence of additional diseases, laboratory results and hospital stay length.
The mean age of our patients was 25.5 (18-41) years. Three patients were in the first trimester (17.6%), 11 patients were in the second trimester (64.8%), and three patients were in the third trimester (17.6%) at the time of admission. All of our patients had abdominal pain. Acute appendicitis was detected in 11 patients, while it was not detected in six patients on the USG examination. Two patients having term delivery underwent caesarean section with concurrent appendectomy. The mean hospital stay length was 2.9 (2-5) days. Histopathologically, 13 (86.7%) of our operated patients were diagnosed with appendicitis. No additional problems were observed in the mothers and infants in the postoperative period.
Acute appendicitis should be considered as a non-obstetric pathology in pregnant patients admitted to the emergency department with abdominal pain. We think that it is important for both maternal and infant health to examine this condition, which shows differences concerning clinical course and physical examination, with a meticulous and multidisciplinary approach.
急性阑尾炎是孕妇非产科急腹症中最常见的原因。我们根据文献回顾了因腹痛就诊于我院急诊科并诊断为急性阑尾炎的患者。
采用电子记录系统回顾性分析了 2016 年至 2019 年期间在 Sanliurfa 培训与研究医院急诊科就诊的 17 例急性阑尾炎孕妇患者。我们评估了患者的年龄、孕周、临床状态、所行手术、超声检查结果、病理结果、是否合并其他疾病、实验室检查结果和住院时间。
患者的平均年龄为 25.5（18-41）岁。3 例患者（17.6%）就诊时处于孕早期，11 例患者（64.8%）处于孕中期，3 例患者（17.6%）处于孕晚期。所有患者均有腹痛。11 例患者在 USG 检查中发现急性阑尾炎，6 例患者未发现。2 例足月分娩的患者行剖宫产术同时行阑尾切除术。平均住院时间为 2.9（2-5）天。在接受手术的 13 例患者中（86.7%）组织病理学诊断为阑尾炎。术后母婴均未出现其他问题。
对于因腹痛就诊于急诊科的孕妇，应将急性阑尾炎视为非产科疾病。我们认为，对于这种在临床过程和体格检查方面存在差异的疾病，采用细致的多学科方法进行检查对于母婴健康都很重要。
