Murat EKİN, Hediye DAĞDEVİREN, Şükrü YILDIZ, Yağmur YÜCEBAŞ, Tuba TOMBUL, Hüseyin CENGİZ

A Preterm Birth Caused by Postoperative Peritonitis and Peritoneal Abscess

Gebelikte intraabdominal operasyona gerek duyulan en sık non obstetrik durum apandisit hastalığıdır. Gebelikte meydana gelen anatomik ve fizyolojik farklılıklar apandisitin tanısını komplike bir hale getirmektedir. Cerrahi müdahale, fetal kayıp ve erken doğum için riskler getirse de tanıda gecikme anne ve fetüs için komplikasyon riskini arttırmaktadır.Anlatılan vaka sunumunda üçüncü trimester gebelikte apandisitin klinik karakteristiğini analiz etmek ve oluşan gebelik sonucunu değerlendirmek amaçlanmıştır.

Postoperatif Peritonit ve Peritoneal Absenin Neden Olduğu Erken Doğum

Appendicitis is the most common condition leading to an intraabdominal operation for a non obstetric problem in pregnancy and diagnosis of appendicitis is complicated by the physiologic and anatomic changes that occur during pregnancy. Although a surgical procedure carries the risk of fetal loss or preterm delivery, delay in diagnosis also increases the risk of complications in both mother and fetus. The following case illustrates our experience and to analyze clinical characteristic and the pregnancy outcome of appendicitis during the third trimester of pregnancy.

PDF

___

1. Long SS, Long C, Lai H, Macura KJ. Imaging strategies for right lower quadrant pain in pregnancy.Am J Roentgenol. 2011; 196:4-12.
2. Ueberrueck T,Koch A,Meyer L,Hinkel M,Gastinger I: Ninety-four Appendectomies for suspected Acute Appendicities during Pregnancy. World Journal of Surgery. 2004; 28: 534-40.
3. Tracey M,Fletcher HS. Appendicitis in pregnancy. Am Surg. 2000; 66:555-9.
4. Machado N,Grant C:Laparascopic appendicectomy in all trimesters of pregnancy. JSLS, 2009; 24:383-9.
5. Halkic N, Tempia-Caliera AA, Ksontini R, Suter M, Delaloye J-F, Vuilleumier H. Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy. Langenbeck's Archives of Surgery. 2006; 391:467-71.
6. Perrot Md, Jenny A, Morales M, Kohlik M, Morel P. Laparosocpic appendectomy during pregnancy. Surg Laparosc Endosc Percutan Tech. 2000; 10:368-71.
7. Cilo NB, Amini D, Landy HJ. Appendicitis and Cholecystitis in Pregnancy. Clin Obstet Gynecol. 2009; 52:586-96.
8. Lyass S, Pikarsky A, Eisenberg VH. Is laparascopic appendectomy safe in pregnant women? Surg Endosc. 2001; 15:377-9.