Diagnosis of Acute Appendicitis During Pregnancy

ERDAL GÖÇMEN, İsmail Bilgiç, TAMER ERTAN, ÖMER YOLDAŞ, Aydın Bilgin, MEHMET KILIÇ, Mesut Tez, MAHMUT KOÇ

  • ERDAL GÖÇMEN: ANKARA NUMUNE EĞİTİM VE ARAŞTIRMA HASTANESİ
  • İsmail Bilgiç: Ankara Numune Eğitim ve Araştırma Hastanesi
  • TAMER ERTAN: ANKARA NUMUNE EĞİTİM VE ARAŞTIRMA HASTANESİ
  • ÖMER YOLDAŞ: ANKARA NUMUNE EĞİTİM VE ARAŞTIRMA HASTANESİ
  • Aydın Bilgin: Ankara Numune Eğitim ve Araştırma Hastanesi
  • MEHMET KILIÇ: NECMETTİN ERBAKAN ÜNİVERSİTESİ
  • Mesut Tez: Ankara Numune Eğitim ve Araştırma Hastanesi
  • MAHMUT KOÇ: ANKARA NUMUNE EĞİTİM VE ARAŞTIRMA HASTANESİ
  • Year : 2005
  • Vol : 21
  • Issue : 2
  •  Page : 59-62
Background: Acute appendicitis is the mostcommon surgical problem in pregnancy after obstetric reasons. Pregnant patients operated with diagnosis of acute appendicitis were reviewed retrospectively in this study. Patients and Methods: 24 pregnant patients operated with diagnosis of acute appendicitis in Ankara Numune Training and Research Hospital between January and December 2003 were included in this study. Results: 19 out of 24 patients (%79.2) were pathologically diagnosed as acute appendicitis. Out of other 5 patients, 2 patients had ovarian cystrupture, 1 had ovarian cyst torsion and 2 had negative laparatomies. Distribution of patients was 2, 16 and 6 patients respectively, for 1st, 2nd and 3rd trimester. 2 patients had pretermlabour and 1 fetus resulted with exitus. Preoperative ultrasonography showed similarity to peroperative findings in 12 of 24 patients. Discussion: Diagnosis of acute appendicitis in pregnancy is quite difficult and physical examination and patient history are still most important diagnostic tools. Perforation risk in pregnant patients higher than normal population.

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Conflict of interest : Yok
Selcuk Medical Journal
2005, Vol. 21 (2)
ISSN: 1017-6616
E-ISSN: 2149-8059
Received : , Accepted : , Published Online :