Laparoscopic appendectomy in a second trimester pregnant patient due to acute appendicitis: a case report
Keywords:Abdominal pain, Acute appendicitis in pregnancy, Laparoscopic appendectomy
Acute appendicitis is the most frequent surgical procedure of general surgery during pregnancy, which occurs in 0.04 to 0.2% of all pregnancies; this represents 25% of non-obstetric operations performed during pregnancy. A 33-year-old female patient with a second-trimester pregnancy, which goes to the Emergency Department for abdominal pain, when performing the anamnesis and physical examination, the suggestive picture of acute appendicitis is integrated, for which additional laboratory and cabinet studies are carried out, according to the clinical suspicion it is decided to perform diagnostic laparoscopy and management according to findings; cecal erythematosus appendix is evident, so appendectomy is performed, finding proximal appendicolitis. Later with good evolution and satisfactory exit for the binomial. This procedure has been associated with shorter surgery times, shorter hospital stays and fewer complications compared to open surgery.
Cox TC, Huntington CR, Blair LJ, Prasad T, Lincourt AE, Augenstein VA, Heniford BT. Laparoscopic appendectomy and cholecystectomy versus open: a study in 1999 pregnant patients. Surgical Endos. 2016;30(2):593-602.
Donato Depalma. Historia de la cirugía infantil: Apendicitis. Rev Hosp Niños BAires. 2012; 54(244):15- 24.
Zingone F, Sultan AA, Humes DJ, West J. Risk of acute appendicitis in and around pregnancy: a population-based cohort study from England. Annals Surg. 2015;261(2):332-7.
Abbasi N, Patenaude V, Abenhaim HA. Management and outcomes of acute appendicitis in pregnancy—population‐based study of over 7000 cases. BJOG: An Int J Obstet and Gynaecol. 2014;121(12):1509-14.
Wilson Laffita Labañino, William Jiménez Reyes. Acute appendicitis during pregnancy. Cuban J Obstet and Gynecol. 2011; 37(2):223-34.
Guterman S, Mandelbrot L, Keita H, Bretagnol F, Calabrese D, Msika S. Laparoscopy in the second and third trimesters of pregnancy for abdominal surgical emergencies. J Gynecol Obstet Human Reprod. 2017;46(5):417-2.
Burke LM, Bashir MR, Miller FH, Siegelman ES, Brown M, Alobaidy M, et al. Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study. American J Obstet Gynecol. 2015;213(5):693-e1.
Andrei Rebarber, Brian P Jacob. Acute appendicitis in pregnancy. In: UpToDate, Charles J Lockwood, MHCM, Deborah Levin, Martin Weiser, UpToDate, Waltham, MA, 2018.
Michael P Stany, John C Elkas, JD. Laparoscopic surgery in pregnancy. In: UpToDate, Vincenzo Berghella, David L Hepner, Tommaso Falcone, FRCSC, FACOG, UpToDate, Waltham, MA, 2018.
Flores-Ramírez S, Flores-Morales JL, Fuentes-Rivas A. Appendicitis during pregnancy. Experience at the Hospital General Toluca Dr. Nicolás San Juan. Cirujano general. 2011;33(4):218-21.
Bolívar-Rodríguez MA, Cazarez-Aguilar MA, Fierro-López R, Romero-Aguilar RE, Lizárraga-González H, Morgan-Ortiz F. Acute appendicitis during pregnancy: report of 4 cases. Ginecol Obstet Mex. 2014;82:337-43.
Basurto-Kuba EOP, Martínez- Gudiño O, Olmos-Ramírez G, Buitrón García-Figueroa R. Apendicitis y embarazo. Experiencia en el Hospital Ángeles México. Cirujano General 2006;28(4):230-3.