Recurrent Acute Appendicitis During the First Stage of Labor
The present case has been reported in the Journal of Clinical Gynecology and Obstetrics.

A 32-year-old nulliparous Japanese woman presented with acute appendicitis at 12 weeks of gestation, which was successfully treated non-surgically with intravenous antibiotics.

However, she had a relapse of acute appendicitis at 40 + 3 weeks of gestation and underwent emergent simultaneous cesarean section and appendectomy. According to the authors, this is the first detailed report on the clinical course of recurrent acute appendicitis that was diagnosed after the onset of labor.

Careful attention should be paid to the relapse of appendicitis after its successful conservative management.

Acute appendicitis is one of the most common abdominal emergencies, and it can also occur during pregnancy. When the symptoms are atypical, the prompt diagnosis of appendicitis is difficult. However, if the diagnosis is delayed, appendix perforation and peritonitis might develop, which lead to poor prognosis for both the mother and the baby. Prompt and accurate diagnosis and treatment are important in pregnant women with acute appendicitis.

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Dr. S●●●●●v S●●●●●1
Dr. S●●●●●v S●●●●●1 Obstetrics and Gynaecology
The diagnosis is mostly by exclusion and clinical. Prompt treatment with antibiotics preferably intra-venous should be instituted without any waiting for sake of mother and baby and no place for wait and watch - that should be the message.
Aug 20, 2018Like