Annals of Coloproctology

Original Articles

Appendicitis during Pregnancy: The Clinical Experience of a Secondary Hospital: Soo Jung Jung, Do Kyung Lee, Jun Hyun Kim, Pil Sung Kong, Kyung Ha Kim, Sung Woo Bae; J Korean Soc Coloproctol. 2012;28(3):152-159. Published online June 30, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.3.152

4,037 View
39 Download
21 Citations

Purpose

Appendicitis is the most common condition leading to an intra-abdominal operation for a non-obstetric problem in pregnancy. The aim of this study was to examine our experience and to analyze the clinical characteristics and the pregnancy outcomes for appendicitis during pregnancy that was reported in Korea.

Methods

We reported 25 cases of appendicitis during pregnancy that were treated at Good Moonhwa Hospital from January 2004 to March 2010. We also analyzed appendicitis during pregnancy reported in Korea between 1970 and 2008 by a review of journals.

Results

The incidence of acute appendicitis during pregnancy was one per 568 deliveries. The mean age was 27.92 years old, the gestational stage at the onset of symptoms was the first trimester in 10 patients (40%), the second trimester in 14 patients (56%), and the third trimester in 1 patient (4%). Among the 25 cases, 21 were treated with an open appendectomy and 4 with laparoscopic appendectomies. The postoperative complications were 2 wound infections and 1 spontaneous abortion.

Conclusion

Our experience demonstrated that appendectomies on pregnant patients can be successfully performed at secondary hospitals.

Citations

Citations to this article as recorded by

Diagnostic value of the pregnancy index for acute appendicitis in pregnant women
Ismail Sezİklİ, Ramazan Topcu, Mehmet Berksun Tutan, Orhan Aslan, Mahmut Arif Yüksek
Scientific Reports.2025;[Epub] CrossRef
Akut Apandisit Nedeniyle Opere Edilen Gebe Hastaların Sonuçları: 37 Vaka Serisinin Tek Merkez Deneyimi
Felat Çiftçi, Mazlum Yavaş
Harran Üniversitesi Tıp Fakültesi Dergisi.2024; 21(1): 36. CrossRef
Non-obstetric surgery during pregnancy and the effects on maternal and fetal outcomes: A systematic review
Anna Haataja, Hannu Kokki, Outi Uimari, Merja Kokki
Scandinavian Journal of Surgery.2023; 112(3): 187. CrossRef
PARAMETERS ASSOCIATED WITH ACUTE APPENDICITIS IN PREGNANCY
Samet ŞAHİN, Eyüp Murat YILMAZ, Mahir KIRNAP, Ethem BİLGİÇ, Ahmet Ender DEMİRKIRAN
SDÜ Tıp Fakültesi Dergisi.2023; 30(2): 185. CrossRef
Efficacy of magnetic resonance imaging among pregnant patients diagnosed with acute abdomen in the emergency department
Yunus YILMAZSOY, Adnan ÖZDEMİR, Serdar ARSLAN, Pelin Zeynep BEKİN SARIKAYA
Anatolian Current Medical Journal.2023; 5(3): 187. CrossRef
Laparoscopic appendectomy for acute appendicitis in pregnancy
A.P. Ukhanov, D.V. Zakharov, S.A. Zhilin, S.V. Bolshakov, K.D. Muminov, Yu.A. Aselderov
Khirurgiya. Zhurnal im. N.I. Pirogova.2023; (9): 86. CrossRef
Significance of laboratory parameters in diagnosing acute appendicitis during pregnancy
Rıfat Peksöz, Esra Dişçi, Abdulkadir Kaya, Enes Ağırman, Ercan Korkut, Nurhak Aksungur, Necip Altundaş, Salih Kara, Sabri Selçuk Atamanalp
ANZ Journal of Surgery.2022; 92(1-2): 121. CrossRef
Physical Examination and Appendiceal Signs During Pregnancy
Steven Yale, Halil Tekiner, Eileen S Yale
Cureus.2022;[Epub] CrossRef
Evaluation of Clinical and Paraclinical Findings in Cases of Pregnancy Appendectomy in Ali Ebn-e Abitaleb Hospital Within 2015 - 2019
Shahla Mirgaloy Bayat, Farahnaz Farzaneh, Zahra Asadi Kalameh, Najmeh Zamaniha
Zahedan Journal of Research in Medical Sciences.2022;[Epub] CrossRef
Acute Appendicitis During Pregnancy: A Case Series of 42 Pregnant Women
Tezcan Akın, Birkan Birben, Gökhan Akkurt, Onur Karaca, Mustafa Dönmez, Sadettin Er, Mesut Tez
Cureus.2021;[Epub] CrossRef
Laparoscopic Versus Open Appendectomy for Appendicitis in Pregnancy: Systematic Review and Meta-Analysis
Qi Zeng, Amina Aierken, Shen-Sen Gu, Gang Yao, Shadike Apaer, Nuerzhatijiang Anweier, Jing Wu, Jin-Ming Zhao, Tao Li, Tuerhongjiang Tuxun
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2021; 31(5): 637. CrossRef
APPENDICITIS IN PREGNANCY : OUR CLINICAL EXPERIENCE AT A TERTIARY CARE CENTRE
Anil Kumar, Rekha Rani, Hamid Wani
GLOBAL JOURNAL FOR RESEARCH ANALYSIS.2021; : 22. CrossRef
The diagnostic role of hemogram parameters in pregnant appendicitis
Erkan Somuncu, Emre Bozdag, inanc sarici, Adem Ozcan, Cenk Ozkan, Ceren Basaran
Polish Journal of Surgery.2021; 94(1): 48. CrossRef
Optimization of Diagnosis of Acute Appendicitis in Pregnant Women
Aydar Mindiarovich Ziganshin, Hiwa Mohammed Hassan Karkhani, Bhawna Sharma
Indian Journal of Surgery.2020; 82(5): 941. CrossRef
Acute appendicitis during pregnancy
A. V. Sazhin, A. I. Kirienko, M. A. Kurtser, A. G. Konoplyannikov, A. V. Panin, D. A. Son, G. D. Shulyak
Khirurgiya. Zhurnal im. N.I. Pirogova.2019; (1): 70. CrossRef
Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: a systematic review and updated meta-analysis
Seung Hwan Lee, Jin Young Lee, Yoon Young Choi, Jae Gil Lee
BMC Surgery.2019;[Epub] CrossRef
Complicated appendicitis during pregnancy
A. V. Sazhin, M. A. Kurtser, A. G. Konoplyannikov, G. B. Ivakhov, A. V. Panin, D. A. Son, G. D. Shulyak, Yu. A. Serebrennikova
Khirurgiya. Zhurnal im. N.I. Pirogova.2019; (4): 15. CrossRef
Outcomes after open and laparoscopic appendectomy during pregnancy: A meta-analysis
Anastasia Prodromidou, Nikolaos Machairas, Ioannis D. Kostakis, Ernesto Molmenti, Eleftherios Spartalis, Athanasios Kakkos, Georgios T. Lainas, Georgios C. Sotiropoulos
European Journal of Obstetrics & Gynecology and Reproductive Biology.2018; 225: 40. CrossRef
Acute Appendicitis in Pregnancy and the Developing World
Tika Ram Bhandari, Sudha Shahi, Sarita Acharya
International Scholarly Research Notices.2017; 2017: 1. CrossRef
Appendicitis in pregnancy: Difficulties in diagnosis and management. Guidance for the emergency general surgeon: A systematic review
Arkeliana Tase, Mohamad Fathul Aizat Kamarizan, Keshav Swarnkar
International Journal of Surgery Open.2017; 6: 5. CrossRef
Maternal and Fetal Outcome in Pregnant Women with Acute Appendicitis: A Three Year Observational Study
Alaa Masood
Obstetrics & Gynecology International Journal.2016;[Epub] CrossRef

Laparoscopic vs. Conventional Appendectomy in Pregnancy.: Kim, Do Hyoung , Lee, In Kyu , Choi, Seung Bong , Lee, Yoon Suk , Lee, Sang Kuon , Oh, Seong Taek , Jeon, Hae Myung , Kim, Jun Gi , Kim, Eung Kook , Chang, Suk Kyun; J Korean Soc Coloproctol. 2008;24(3):161-165.; DOI: https://doi.org/10.3393/jksc.2008.24.3.161

1,692 View
10 Download
1 Citations

Abstract PDF

PURPOSE
The purpose of this study was to evaluate the clinical course and pregnancy outcome according to operative management of appendictis in the Department of Surgery.
METHODS
We reviewed the charts of pregnant patients who went through a convential appendectomy and a laparoscopic appendectomy at the Department of Surgery, Catholic University of Korea St. Mary's Hospital, from May 1995 to June 2006. RESULTS: The incidence of acute appendicitis during pregnancy was the highest at the 2nd trimester and at ages from 25 to 30 years. The laparoscopic appendectomy was shorter than the open appendectomy in hospital stay and decreased leukocytosis faster in the first postoperative day, except in cases of perforated appendicitis, but the operation times were similar. There was a significant difference in gestational age at delivery between perforated appendicitis and suppurative. We found one fetal anomaly, but it was not related to either the appendicitis or the operation method. CONCLUSIONS: In this study, we found that a laparoscopic appendectomy was better than an open appendectomy for recovery and was safe in pregnant appendicitis patients at any gestational age. However, follow up and investigation in a larger population is needed to get more accurate results.

Citations

Citations to this article as recorded by

Appendicitis during Pregnancy: The Clinical Experience of a Secondary Hospital
Soo Jung Jung, Do Kyung Lee, Jun Hyun Kim, Pil Sung Kong, Kyung Ha Kim, Sung Woo Bae
Journal of the Korean Society of Coloproctology.2012; 28(3): 152. CrossRef

Case Report

Colorectal Cancer during Pregnancy or Postpartum: A Review of 7 Cases.: Park, In Ja , Kim, Hee Cheol , Yu, Chang Sik , Kim, Jin Cheon; J Korean Soc Coloproctol. 2005;21(2):100-104.

1,154 View
5 Download

Abstract PDF: Colorectal cancer during pregnancy is a very rare condition with a reported incidence between 0.001% and 0.1%. Delayed diagnosis is common because of the similarity between the early signs and symptoms of colon cancer and the gastrointestinal symptoms related to pregnancy, which results in a poor prognosis. Only two cases, related with pregnancy were reported in Korea prior to 2004. We report seven cases of colorectal cancer during pregnancy or postpartum, as well as a literature review. We experienced 7 cases of colorectal cancer which were discovered during pregnancy or 2 weeks after delivery. The chief complaints were abdominal pain, discomfort, and hematochezia. The locations were the rectum in two cases, the right-side colon in two cases, the splenic flexure in two cases, and the sigmoid colon in one case. The stages of the disease were advanced in two cases: one with ovarian metastasis and the other with breast metastasis. There were four stage II patients who survived for 70, 34, 47, and 15 months, respectively. one patient had intra-mucosal cancer, which was identified incidentally during examination. The patient with ovarian metastasis died at 57 months postoperatively and the patient with breast metastasis died at 3 months.

Original Articles

A Clinical Study of Acute Appendicitis in Pregnancy.: Jang, Yong Seog; J Korean Soc Coloproctol. 1998;14(4):767-774.

1,133 View
4 Download

Abstract PDF: PURPOSE
Acute appendicitis is the most frequently encountering extrauterine surgical condition in pregnancy. Prompt diagnosis of acute appendicitis in pregnancy is not easy on the basis of clinlical findings, which may be obscured or altered by the presence of a gravid uterus. In most of cases, prompt diagnosis and early surgical intervention could result in optimal maternal and fetal outcomes. MATERIAL AND METHODS: We performed retrospective analysis of 20 cases, which were operated under the diagnosis of acute appendicitis in pregnancy from 1990 to 1995 at the department of surgery, Soonchunhyang University Hospital.
RESULTS
1) The incidence of the acute appendicitis in pregnancy was one per 742 deliveries and the diagnostic accuracy was 85%. 2) The majority of patiens was in the 3rd decade of age (76.5%). 3) Gestational stages at onset of symptom were first trimester in 6 patients (35.3%) and second trimester (52.9%) in most patients. 4) The majority of patients(82.4%) spent less than 24 hours preoperatively. 5) The symptoms in order of frequency were; abdominal pain (100%), nausea (70.5%), vomiting (41.1%), fever (23.5%), chill (11.8%), constipation (11.8%), diarrhea (5.9%). The maximal tenderness was noted on McBurney's point (29.4%) and above McBurney's point (58.8%) in most of patient. 6) The leukocyte counts were mostly in the range of 10,000 to 15,000 mm3 (47.1%) and 15,000 to 20,000 mm3 (35.3%). 7) Several types of incisions were employed: a McBurney incision was used in 8 cases (47.1%), a transverse incision in 8 cases (47.1%), and a low midline incision in 1 case (5.8%). A general anesthesia was done in 6 patients (35.3%), a spinal anesthesia done in 8 patients (47.1%), and an epidural anesthesia done in 3 patients (17.6%). A drain was placed intraabdominally in 2 cases. 8) Among 17 cases, three were reported as focal appendicitis (17.6%), ten as suppurative one (58.8%), one as ganagrenous one (5.9%) and three as perforated one (17.6%). 9) The postoperative complications included 1 wound infection and 4 artificial abortions. There was no maternal death, preterm labor, or spontaneous abortion.
CONCLUSION
Despite of diagnostic obstacles due to pregnancy, acute appendicitis can be diagnosed without major difficulty. High index of suspicion is required during diagnostic procedures and prompt surgical intervention improves maternal and fetal outcomes...EABS:

Acute Appendicitis during Pregnancy.: Ahn, Dae Ho; J Korean Soc Coloproctol. 1997;13(3):509-516.

897 View
3 Download

Abstract PDF: Acute appendicitis is the most common reason for non-obstetric abdominal surgery during pregnancy. The diagnosis of appendicitis in pregnancy is difficult due to the blunting of signs and symptoms during pregnancy along with a migration of appendiceal location. When appendicitis in pregnancy is suspected, the physician must balance the risk of delaying surgery and incurring the morbidity of delay against acting hastily and performing unnecessary surgery. Eleven patients who underwent appendectomy during pregnancy from April 1995 through February 1997 were reviewed. Seven patients were proven to be acute appendicitis at laparotomy and by subsequent histopathology. There were no significant differences between patients with positive and negative laparotomies regarding frequency of presenting symptoms and signs or laboratory results. Two cases of preform(25 and 31 weeks) deliveries occurred, one with a perforated appendicitis and the other with negative laparotomy.

First
Prev
Page of 1
Next
Last

Search