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appendicitis in pregnant patients
Clinical manifestations:
- abdominal pain beginning in the periumbilical area, later localizing to the right lower quadrant (RLQ)
Laboratory:
- complete blood count (CBC)
- leukocytosis*
* WBC count for 3rd trimester may be as high as 17,000/uL
Radiology:
- abdominal ultrasound is often 1st imaging test
- cross-sectional imaging with MRI is imaging modality of choice
Management:
- not an indication for urgent delivery
General
appendicitis
pregnancy disorder; obstetric disorder; pregnancy complication
References
- NEJM Knowledge+
- Pastore PA, Loomis DM, Sauret J.
Appendicitis in pregnancy.
J Am Board Fam Med. 2006 Nov-Dec;19(6):621-6.
PMID: 17090795 Free article. Review.
https://www.jabfm.org/content/19/6/621.long
- Lehnert BE, Gross JA, Linnau KF, Moshiri M.
Utility of ultrasound for evaluating the appendix during the second and
third trimester of pregnancy.
Emerg Radiol. 2012 Aug;19(4):293-9.
PMID: 22370694
https://link.springer.com/article/10.1007/s10140-012-1029-0
- Basaran A, Basaran M.
Diagnosis of acute appendicitis during pregnancy: a systematic review.
Obstet Gynecol Surv. 2009 Jul;64(7):481-8
PMID: 19545456 Review.