JOURNAL ARTICLE
REVIEW

Appendicitis during pregnancy

Rachelle Guttman, Ran D Goldman, Gideon Koren
Canadian Family Physician Médecin de Famille Canadien 2004, 50: 355-7
15318670

QUESTION: A 26-year-old patient in our clinic, who was 18 weeks pregnant at the time, experienced acute abdominal pain and was diagnosed with appendicitis. The inflamed appendix was successfully removed. Is her pregnancy at risk?

ANSWER: Appendicitis is not rare during pregnancy and is associated with increased reproductive risk. Women who have undergone appendectomy during pregnancy are at higher risk of fetal loss, especially in early pregnancy and with appendiceal perforation, and of premature contractions and labour. Despite the difficulty of diagnosing appendicitis during pregnancy, appendectomy should not be delayed.

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