Appendicitis and Pregnancy: Report of Two (2) Cases

Authors

  • Ouedraogo Issa Regional Teaching Hospital of Ouahigouya
  • Toure Boubakar Yalgado Ouedraogo Teaching Hospital
  • Sawadogo Yobi Alexis Yalgado Ouedraogo Teaching Hospital
  • Kiemtoré Sibraogo Yalgado Ouedraogo Teaching Hospital
  • Sib Sansan Rodrigue Regional Teaching Hospital of Ouahigouya
  • Zamané Hyacinthe Yalgado Ouedraogo Teaching Hospital
  • Sanogo Moussa Yalgado Ouedraogo Teaching Hospital
  • Tieba-Bonane Blandine Yalgado Ouedraogo Teaching Hospital

Keywords:

Appendicitis, Pregnancy, Management

Abstract

A cute appendicitis is a common pathology with an estimated lifetime incidence of 7 % to 8 %. However, during pregnancy, its incidence is much lower, ranging from 0.05 % to 0.13 %. It is the most common non-obstetrical surgical emergency during pregnancy. It is a serious condition in pregnancy because of delay in diagnosis leading to complications with a poorer maternal and fetal prognosis.

The purpose of this study is to discuss the specific diagnostic features of acute appendicitis in pregnancy to facilitate early diagnosis and improve its management.

We report such two cases of appendicular peritonitis: first of a 28-year-old woman, diagnosed during the first trimester of pregnancy and the second of 21 years diagnosed during the caesarean section.

For pregnant women exhibiting abdominal pain in the right iliac fossa, right flank or right hypochondriac regions associated with fever and vomiting, acute appendicitis should be suspected in time to avoid complications leading to poor maternal and fetal prognosis.

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References

Abbasi, N., Patenaude, V. and Abenhaim, H.A. 2014. Management and outcomes of acute appendicitis in 7000 cases. British Journal of Obstetrics Gynecology, 121: 1509-1514.

Adloff, M., Schloegel, M. 1989. Appendicitis. Encycl Med Chir.Stomach intestine.9066-10, 10-1989, 10 p.

Allen, J.R. and Helling, T.S. 1989. Langenfeld Intra-abdominal surgery during pregnancy. American Journal of Surgery, 158: 567-9.

Babakania, A, Parsa, H. and Woodruff, J.D. 1977. Appendicectomy during pregnancy. Obstetrics and Gynecology, 50: 40-4.

Barnes, S.L., Shane, M.D., Shoemann, M.B., Bernard, A.C., Baker, B.R. 2004. Laparoscopic appendectomy after pregnancy: report of two cases and description of technique. American Surgeon, 70: 733-36.

Batallan, A., Benifla, J.C., Panel, P., Dorin, S., Darai, E., Madelenat, P. 1999. Laparoscopic surgery in the second trimester of pregnancy: indication, technique and fetal impact. About 9 observations and review of the literature. Annales de Chirurgie, 53: 285-90.

Berthet-Badetti, L., Tanti, M.C. and Boimond, H. 1997. Acute appendicitis in the third trimester of pregnancy. Fr Rev Gynecol Obstet, 92: 205-7.

Chambon, J.P. and Quandalle, P. 1986. Non-gynecological abdominal emergencies during pregnancy. Annales de Chirurgie, 4: 455-61.

Curet, M.J., Allen, D. and Josloff, R.K. 1996. Laparoscopic during pregnancy. Archives of Surgery, 131: 546-51.

Duffour, P., Delebecq, T., Vinatier, D., Haentjens Verbeke, K., Tordjeman, N., Monnier, C. and et al., 1996. Appendicitis and pregnancy about 7 observations. Journal of Gynecology Obstetrics and Biology of the Reproduction, 25: 411-5.

Halvorsen, A.C., Brandt, B. and Andreasen, J.J. 1992. Acute appendicitis in pregnancy: complications and subsequent management. European Journal of Surgery, 158: 603-6.

Lebeau, R., Diané, B., Koffi, E., Bohoussou, E., Kouamé, A. and Doumbia, Y. 2005. Acute appendicitis and pregnancy: About 21 cases. Journal of Gynecology Obstetrics and Biology of the Reproduction, 34(6): 600-605.

Lemine, M., Collet, M. and Brettes, J.P. 1994. Abdominal emergencies and pregnancy.Fr Rev Gynecol Obstet, 89: 553-9.

Leroy, J.L. 1981. Acute appendicitis during the gravid-puerperium: the difficulties of diagnosis and treatment. Dig Chir Med, 10: 143-7.

Lim, H.K., Bae, S.H. and Seo, G.S. 1992. Diagnosis of acute appendicitis in pregnant women: value of sonography. AJR, 159: 539-42.

Mahmoodian, S. 1992. Appenditic complicating pregnancy. South Medical Journal, 85: 19-24.

Maisonnette, F., Dubayle, G., Aubard, Y. and Baudet, J.H. 1999. Acute appendicitis during the last two trimesters of pregnancy. Fr Rev Gynecol Obstet, 94: 66-9.

Marret, H., Laffon, H., Calan, L., Bourlier, L.P. and Lansac, J. 2000. Surgical emergencies during pregnancy. Encycl Med Chir, Gynecology Obstetrics, 5-049-D10, 2000, 13 p.

Narjis, Y., Louzi, A., El Mansouri, M.S. and et al., 2011. Acute appendicitis and pregnancy, a delicate situation: about 8 cases. African Journal of Hepatology and Gastroenterology, 5: 217-220.

Nouira, M., Jerbi, M., Sahraoui, W., Mellouli, R., Sakhri, J., Bougnizane, S. and al., 1999. Acute appendicitis in pregnant women: about 18 cases. Fr Rev Gynecology and Obstetrics, 94: 486-91.

Ramanah, R., Sauter, J.L., Maillot, R. and al., 2011. Non-obstetric surgical emergencies during pregnancy. MCE, Gynecology/Obstetrics, S-049-D-10.

Tamirel, P., Kessler, N., Blayac, P.M., Lesmik, A., Gallix, B., Bruel, J.M. 2002. Imaging of appendicitis. Ultrasound, scanner or nothing at all. Journal of Radiology, 83: 1952-60.

Touhami, H. 1984. Appendicitis and pregnancy: the conditions for success. Maghreb Medical, 101: 51-3.

TshibanguKangu, K., Alardo, J.P., Liselele-Bolemba, L., Makanya, K., Snamuli, K. 1985. Fetal-maternal risk of appendicitis and pregnancy in Central Africa. Ann Soc Belgian Med Trop, 65: 369-72.

Published

04-01-2023

How to Cite

Issa, O., Boubakar, T., Alexis, S. Y., Sibraogo, K., Rodrigue, S. S., Hyacinthe, Z., Moussa, S., & Blandine, T.-B. (2023). Appendicitis and Pregnancy: Report of Two (2) Cases. International Journal of Current Innovations in Advanced Research, 1(6), 163–169. Retrieved from https://ijciar.com/index.php/journal/article/view/67

Issue

Volume 1, Issue 6, 2018

Section

Original Articles
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