| Autor: |
Butte B, Jean Michel, Bellolio A, M Fernanda, Fernández L, Francisca, Sanhueza G, Marcel, Báez V, Sergio, Kusanovich B, Rodrigo, Viñuela F, Eduardo, González P, Rogelio, Pruyas A, Martha, Díaz A, Verónica, Martínez C, Jorge |
| Jazyk: |
Spanish; Castilian |
| Rok vydání: |
2006 |
| Předmět: |
|
| Zdroj: |
Revista médica de Chile, Volume: 134, Issue: 2, Pages: 145-151, Published: FEB 2006 |
| Popis: |
Background: Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. Aim: To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. Patients and methods: Data from all pregnant patients who were subjected to an appendectomy for a suspected acute appendicitis from January 1998 to December 2002, were retrospectively analyzed. All pathological, surgical, clinical records and the delivery outcome registry of each patient were reviewed. Results: Among 47,322 deliveries, 46 pregnant women aged 29±9 years and with a gestational age of 21±7 weeks, were operated because of a presumptive acute appendicitis. Forty (87%) had a histopathologically proven appendicitis; ten (25%) cases had a perforated appendix and 30 (75%) had a non-perforated appendicitis. Five (10.9%) patients had a negative laparotomy and one had a necrotic ovarian tumor. Patients with perforated and non perforated appendices had a similar lapse from the onset of symptoms to operation (69±45 and 50±34 hours respectively, NS) and a similar white cell count (15,667±3,707 and 13,006±5,206 cells/mm³, respectively, NS). Wound infection was the most common surgical complication in 15%. Seven (15%) patients had a premature delivery and there was one fetal death (2.2%). There were no pregnancy complications on negative appendectomy cases. Conclusions: Acute appendicitis continues to be a challenge in diagnosis and treatment during pregnancy. Maternal and fetal outcome was better than previously reported |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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