ACUTE APPENDICITIS WITH PERFORATION IN 3RD TRIMESTER PREGNANCY : A CASE REPORT

Dr.Samradnyi Sarode; Dr. Uma N Wankhede

Volume : VI, Issue : XI, November - 2017

ACUTE APPENDICITIS WITH PERFORATION IN 3RD TRIMESTER PREGNANCY : A CASE REPORT

Dr. Samradnyi Sarode, Dr. Uma N Wankhede

Abstract :

Acute appendicitis is the most common surgical complication in pregnancy. Its incidence is 1 per 1500 which is similar to the one in the non-pregnant population. The diagnosis of acute appendicitis is more challenging in pregnancy. Up to 23% of appendicectomies performed during pregnancy show normal appendices( versus 18% in non-pregnant population p<0.05). Suspected cases of acute appendicitis in pregnancy are considered surgical emergencies due to the potentially devastating outcomes for both mother and unborn child if the appendix perforates. Current report describes the case of an 22 year-old G3P1L1A1, at 34 weeks who was hospitalized with complaint of sudden onset of localized, non radiating pain at the suprapubic and right iliac fossa regions together with vomiting and fever. Open appendicectomy was performed. Acute appendicitis in pregnancy requires an attentive assessment of clinical manifestation and laboratory findings including radiological diagnosis. Early action is a better option to control negative maternal and fetal outcomes.