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Laparoscopic appendectomy secondary to afebrile acute perforated appendicitis mimicking threatened abortion in first trimester pregnancy in Tanzania: A case report.
Int J Surg Case Rep
January 2025
Department of General Surgery, Kamanga Medics Hospital, P.O. Box 5228, Mwanza, Tanzania.
Introduction: Appendicitis in pregnancy is the most common non-obstetric surgical condition which requires urgent evaluation and immediate intervention in a multidisciplinary approach. Pregnancy anatomical and physiological changes can mask the presentation of appendicitis and poses both diagnostic and management challenges.
Case Presentation: A 32 year old female, G3P2L2 at gestation age of 11 weeks by USS, presented with recurrent episodes of acute abdominal pain for one day, afebrile but accompanied with poor appetite, nausea and vomiting along episodes of per vaginal spotting which started three days prior.
Operative and non-operative management of acute appendicitis during pregnancy: a population-based study.
Arch Gynecol Obstet
December 2024
Laboratory of Healthcare Research and Pharmacoepidemiology, Division of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Via Bicocca degli Arcimboldi, 8 (Building U7), 20126, Milan, Italy.
Purpose: Acute appendicitis during pregnancy poses unique challenges due to altered anatomical and physiological dynamics and concern about foetal well-being. This study aimed to assess management strategies and outcomes of acute appendicitis during pregnancy, focusing on non-operative management versus surgical intervention.
Methods: The study is based on the computerized healthcare utilization database of Lombardy.
A rare case report: Management of paratubal cyst torsion in the second trimester and literature review.
Int J Surg Case Rep
January 2025
General Surgery Department, Military Hospital of Tunis, Mont Fleury-1008, Tunis, Tunisia; Faculty of Medicine of Tunis, 15, Djebel Lakhdhar Street - 1007 Bab Saadoun, Tunis, Tunisia.
Introduction And Importance: Paratubal cysts are common adnexal lesions that can lead to complications such as torsion, especially during pregnancy, presenting diagnostic challenges due to symptom overlap with acute surgical emergencies. This study details the clinical characteristics and management of paratubal cyst torsion through a case report and literature review.
Case Presentation: A 29-year-old pregnant woman at 28 weeks gestation presented with right iliac fossa pain and nausea.
Comparison of open and laparoscopic appendectomy according to the trimester of pregnancy: A nationwide observational study.
World J Surg
January 2025
Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata, Japan.
Objective: To compare the outcomes of open appendectomy (OA) and laparoscopic appendectomy (LA) for acute appendicitis during pregnancy by trimester.
Methods: We conducted a nationwide retrospective cohort study using the Diagnosis Procedure Combination database in Japan. We identified pregnant women diagnosed with appendicitis who underwent OA or LA from 2010 to 2022.
The risk of preterm delivery after appendectomy during pregnancy is higher in the face of a negative appendectomy.
Am J Surg
November 2024
Department of Obstetrics and Gynecology, Lis Maternity and Women's Hospital, Sourasky Medical Center, Faculty of Medicine Tel Aviv University, Weizmann 6 Street Tel Aviv, Israel. Electronic address:
Article Synopsis
- This study examined the outcomes of 185 pregnant women who had appendectomies, comparing them to 555 who did not undergo surgery, focusing on clinical, obstetrical, and neonatal results from 2005 to 2022.
- The majority of the appendectomies were laparoscopic, with 76.2% of cases showing an inflamed appendix; however, preterm delivery was significantly higher in the appendectomy group (11.9%) compared to the control group (5.4%).
- The analysis indicated that having an appendectomy, especially if it was a negative appendectomy, was a significant risk factor for preterm birth, highlighting the need for careful
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