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Revista Cubana de Obstetricia y Ginecología
versión impresa ISSN 0138-600Xversión On-line ISSN 1561-3062
Resumen
SANTANA BACALLAO, Osvaldo et al. Behavior of acute appendicitis in pregnancy. Rev Cubana Obstet Ginecol [online]. 2009, vol.35, n.1. ISSN 0138-600X.
OBJECTIVE: To evaluate the behaviour of acute appendicitis in pregnant patients. METHODS: A case series-type retrospective observational and descriptive study was conducted at Ramón González Coro and Manuel Fajardo university hospitals for 11 years. Our universe of study was made up of 16 pregnant patients who were operated on from acute appendicitis from January 1996 to December 2007 in these two hospitals. RESULTS: The most common age groups were 20-29 years and 30-39 years, with 43,75 % of affected patients each; the most common incision type was McBurnev (68,7 %). All the patients suffered spontaneous pain in their lower hemiabdomen and over 50% of them had preterm childbirth. Fifty percent showed normal leukogram values and had cold whereas the rest were either on phlegmonous or suppurative condition. Ten women had term pregnancy, 2 suffered miscarriages, 2 abortions and 2 underwent appendicectomy plus cesarean section at the same time. CONCLUSIONS: Acute appendicitis in pregnant women is a serious health problem to be taken into account in females aged 20-39 years, who suffered spontaneous pain in the right lower quadrant of their abdomen and also nauseas. It does not bring about fatal outcome if early diagnosis and timely intervention are present to increase the possibilities of term pregnancy. McBurney y Rockey-Davis are the ideal types of incision in early diagnosis when performing cesarean section to end up with appendicectomy.
Palabras clave : Pregnancy; acute appendicitis; appendicectomy.