Sabri CAVKAYTAR, Mahmut KOKANALI, Canan UZUN, Aylin KALINBACOĞLU, Nafiye YILMAZ

Term Gebelikte Fetal Taşikardi Nedeni Olarak Akut Perfore Apandisit

Gebelik boyunca, apendektomi obstetri dışı cerrahinin en sık nedenidir.Ama miyad gebeliklerde, gebeliğin kendi nonspesifik olmayan semptomları ile karışması ve ultrasonun düşük sensitivitesi nedeni ile tanı zordur. Tanıdaki gecikmeye bağlı olarak, maternal ve fetal sonuçları olumsuz etkileyen apandisit perforasyonu gebelikte yüksektir. Bu vakada, doğum eylemindeki miyad bir gebede rüptüre olmuş plastrone apandisit olgusunu sunuyoruz.

Acute Perforated Appendicitis as a Cause of Fetal Tachycardia at Term Pregnancy

During pregnancy, appendectomy is the most common non-obstetrical surgery. But diagnosis of appendicitis is difficult in term pregnancy due to low sensitivity of ultrasound and nonspecific symptoms that interferes with pregnancy itself. Due to the delay in diagnosis, perforation of appendicitis is high in pregnant patients which is associated with adverse maternal and fetal outcomes. In this report, we present a term pregnant patient who had appendicitis with ruptured phlegmon during labour.

Keywords:

Perforated appendicitis, term pregnancy, fetal tachycardia, labour,

PDF

___

Guttman R, Goldman RD, Koren G. Appendicitis during pregnancy. Can Fam Physician. 2004;50:355- 7.
Mazze RI, Källén B. Appendectomy during pregnancy: a Swedish registry study of 778 cases. Obstet Gynecol. 1991;77:835-40
Abbasi N, Patenaude V, Abenhaim H. Management and outcomes of acute appendicitis in pregnancy- population-based study of over 7000 cases. BJOG. 2014 Mar 28.
Hiersch L, Yogev Y, Ashwal E, From A, Ben-Haroush A, Peled Y. The impact of pregnancy on the accuracy and delay in diagnosis of acute appendicitis. J Matern Fetal Neonatal Med. 2013 Nov 15.
McGory ML, Zingmond DS, Tillou A, Hiatt JR, Ko CY, Cryer HM. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg. 2007;205:534-40
Terzi A, Yildiz F, Vural M, Coban S, Cece H, Kaya M. A case series of 46 appendectomies during pregnancy. Wien Klin Wochenschr. 2010;122:686-90.
Tamir IL, Bongard FS, Klein SR. Acute appendicitis in the pregnant patient. Am J Surg. 1990;160:571-5. Surgical gastrointestinal disorders during pregnancy. Am J Surg. 2007;193:223-32
Tracey M, Fletcher HS. Appendicitis in pregnancy. Am Surg. 2000;66:555-9.
Greenhalgh R, Punwani S, Taylor SA. Is MRI routinely indicated in pregnant patients with suspected appendicitis after equivocal ultrasound examination? Abdom Imaging. 2008;33 :21-5.
Ito K, Ito H, Whang EE, Tavakkolizadeh A. Appendectomy in pregnancy: evaluation of the risks of a negative appendectomy. Am J Surg. 2012;203:145-50.
Young BC, Hamar BD, Levine D, Roqué H. Medical management of ruptured appendicitis in pregnancy. Obstet Gynecol. 2009;114:453-6.