[Appendicitis in puerperium--case report]
| Autor: | V. Tosic, Z. Maricic, Milica Berisavac, Nebojša Marković, Saša Ljuština, Vojislav Zizic, Biljana Kastratovic-Kotlica |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
medicine.medical_specialty business.industry Early detection Signs and symptoms Rectal temperature General Medicine Laboratory Infection Puerperal Disorders medicine.disease Appendicitis Appendix Surgery Abdominal wall medicine.anatomical_structure Acute appendicitis medicine Humans Female business |
| Zdroj: | Acta chirurgica Iugoslavica. 58(4) |
| ISSN: | 0354-950X |
| Popis: | Acute appendicitis in puerperium is often diagnosed too late, because clinical signs can be unrelaible. Abdominal wall rigidity is rarely noticed in puerpeium because of weak abdominal wall muscles, laboratory parameters are not enough relaible and atipycal appendix presentation makes difficulties in diagnosis3,4. Knowing clinical signs and symptoms of appendicitis, possible complications and their early detection, make a chance for a good surgical outcome. Measuring of axillar and rectal temperature can take confusion in, and prolong time until surgical treatment. Leucocytosis in puerperium is not valid for diagnosis. We report a case of patient in puerperium with high laboratory infection parameters. Diagnosis of appendicitis is made based on clinical signs and symptoms, that is proved intraoperatively and histologicaly. Appendectomy without perforation carries less risks for mother and fetus. |
| Databáze: | OpenAIRE |
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