PDF(Pubmed)
Abstract：
Acute appendicitis is the most common non-obstetric reason for exploratory laparotomy during pregnancy. This case report involves a primigravida patient who presented to the emergency department of the General Hospital of Trikala at 15 weeks of gestation due to diffuse abdominal pain, primarily in the epigastric region. She also reported watery bowel movements. The ongoing atypical clinical symptoms, along with elevated inflammatory markers, strongly indicated a diagnosis of acute appendicitis. An immediate exploratory laparotomy was performed, during which acute localized inflammation of the appendix was found, leading to an appendectomy. Histological examination confirmed the diagnosis of acute appendicitis. The patient reported pain relief immediately after the surgery. On the fourth postoperative day, she was discharged without any signs of a threatened second-trimester miscarriage. At 39 gestational weeks, she delivered by elective cesarean section due to breech presentation. This paper discusses the case and highlights the significant challenges in the early diagnosis and management of acute appendicitis during pregnancy, emphasizing the importance of preventing potentially life-threatening complications for both the mother and the fetus.
摘要：
急性阑尾炎是妊娠期剖腹探查术最常见的非产科原因。该病例报告涉及一名primigravida患者，由于弥漫性腹痛，在妊娠15周时到Trikala总医院急诊科就诊。主要在上腹部区域。她还报告了水汪汪的排便。持续的不典型临床症状，随着炎症标志物的升高，强烈提示诊断为急性阑尾炎。立即进行剖腹探查术，在此期间发现阑尾的急性局部炎症，导致阑尾切除术.组织学检查证实诊断为急性阑尾炎。患者在手术后立即报告疼痛缓解。术后第四天,她已出院，没有任何妊娠中期流产的迹象。在妊娠39周时，由于臀位，她通过选择性剖宫产分娩。本文讨论了该病例，并强调了妊娠期急性阑尾炎早期诊断和治疗的重大挑战，强调预防母亲和胎儿可能危及生命的并发症的重要性。
