Postpartum Acute Appendicitis
AbstractA 28-year-old woman, gravida 1 para 1, presented to the obstetrics department with pelvic pain and intermittent fever. Body temperature was 38.9°C. Widespread abdominal sensitivity and rebound were observed on physical examination. C-Reactive Protein was elevated to 31.1 mg/dl and White Blood Cell count remained at 11,000/mm3. The diameter of the appendix was measured as about 8.1 cm on Computed Tomography. Diagnostic laparoscopy was performed and appendectomy was done because of acute appendicitis. Postpartum appendicitis is a very rare condition and only a few cases have been reported in the literature however acute appendicitis has to be kept in mind in the differential diagnosis.
Andersen B, Nielsen TF. Appendicitis in pregnancy: diagnosis, management and complications. Acta Obstet Gynecol Scand. 1999; 78: 758-62.
Deneux-Tharaux C, Carmona E, Bouvier-Colle MH et al. Postpartum maternal mortality and cesarean delivery. Obstet Gynecol. 2006; 108: 541-8.
Kawakita T, Landy HJ. Surgical site infections after cesarean delivery: epidemiology, prevention and treatment. Matern Health Neonatol Perinatol.2017 5;3:12.
Kazim SF, Pal KM. Appendicitis in pregnancy: experience of thirty-eight patients diagnosed and managed at a tertiary care hospital in Karachi. Int J Surg. 2009; 7: 365-7.
Wadhawan D, Singhal S, Sarda N, et al. Appendicitis in Postpartum Period: A Diagnostic Challenge. J Clin Diagn Res. 2015; 9: QD10-1.
Kulhan M, Kulhan NG, Nayki U, et al. Outcomes of the patients diagnosed incidentally appendicitis during cesarean section. Ginekol Pol. 2017; 88:147-50.
Richards C, Daya S. Diagnosis of acute appendicitis in pregnancy. Can J Surg. 1989; 32: 358-60.
All opinions and reports within the articles that are published in the Gazi Medical Journal are the personal opinions of author(s). Gazi University, Editors and the publisher do not accept any responsibility for these articles. The journal is printed on acid-free paper.