Peritoneovaginal Fistula and Appendicitis-Related Pelvic Abscess in Pregnancy
| Autor: | Sara G. Brubaker, Mona Saleh, Andrew Gardner, Antonia Francis Kim, Katherine Sun |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
appendiceal abscess
medicine.medical_specialty Abdominal pain Fistula Endometriosis Case Report appendiceal endometriosis lcsh:Gynecology and obstetrics 03 medical and health sciences 0302 clinical medicine medicine 030212 general & internal medicine Surgical emergency Cervix lcsh:RG1-991 Pregnancy 030219 obstetrics & reproductive medicine business.industry General surgery Obstetrics and Gynecology acute appendicitis during pregnancy medicine.disease peritoneovaginal fistula Appendicitis Appendiceal abscess medicine.anatomical_structure Pediatrics Perinatology and Child Health medicine.symptom business |
| Zdroj: | American Journal of Perinatology Reports, Vol 10, Iss 02, Pp e129-e132 (2020) AJP Reports |
| ISSN: | 2157-7005 2157-6998 |
| DOI: | 10.1055/s-0040-1708849 |
| Popis: | Appendicitis in pregnancy is the most common nonobstetric surgical emergency. Pregnancy causes changes in anatomy, which could lead to uncertainty regarding the diagnosis of appendicitis. This case report describes a case of appendicitis presenting with peritoneovaginal fistula in a pregnant woman in the second trimester, with interesting finding of isolated appendiceal endometriosis on pathology. The importance of complete physical examination, including speculum examination, is emphasized in the pregnant patient presenting with acute-onset abdominal pain. Imaging criteria for diagnosis of appendicitis should be adjusted to account for the gravid uterus, which may cause appendiceal abscess to appear in a variety of locations, such as posterior to the cervix, as in this case. |
| Databáze: | OpenAIRE |
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