Özet:

Objective: The aim of the study is to evaluate the diag­nosis methods and treatment options of pregnant acute appendicitis among the patients who admitted to general surgery clinic. Patients and Methods: Seven cases were diagnosed as acute appendicitis and underwent appendectomy dur­ing pregnancy, were evaluated between January 2002 and December 2009. All patients had preoperative ultra­sonography and laboratory examination. Fetal heart rate and viability were followed with ultrasonography in preop­erative period. Results: Five patients (71.4%) were in 3. trimester, one patient (14.2%) was in 2. and one patient (14.2%) was in first trimester in admission. All patients had abdominal tenderness and the patients were preoperatively diag­nosed as acute appendicitis by ultrasonography exami­nation. Seven patients underwent appendectomy. Three of seven (42.8%) were acute appendicitis, three were per­forated appendicitis, and one patient had the appendix without any pathology. There was a periceacal abscess formation in one patient and two patients had localized peritonitis among the three perforated appendicitis pa­tients. The mean postoperative hospital stay was 5.1 days. No maternal or fetal mortality were observed. Conclusion: The delay in the diagnosis and the pres­ence of different clinic signs of acute appendicitis due to physiologic changes during pregnancy leads to maternal and fetal morbidity and mortality. We believe that quick, rational, and multidisciplinary approach in diagnosis and treatment period of pregnant women suspected with acute appendicitis may reduce both maternal and fetal morbid­ity and mortality.

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