Appendicular peritonitis and pregnancy: About two cases
1 Department of Visceral Surgery A, CHU Hassan II Fez, Morocco.
2 Department of Obstetrics and Gynaecology II, CHU Hassan II, Fez, Morocco.
Research Article
GSC Biological and Pharmaceutical Sciences, 2023, 25(01), 101–105
Article DOI: 10.30574/gscbps.2023.25.1.0407
Publication history:
Received on 18 August 2023; revised on 04 October 2023; accepted on 06 October 2023
Abstract:
Appendicular peritonitis and pregnancy is a rare and serious association. The clinical presentation is sometimes misleading because of the anatomical and physiological changes associated with pregnancy, often responsible for diagnostic hesitation and therapeutic delay that are detrimental to the mother and the unborn child. The maternal-fetal prognosis depends on the severity of the abdominal pathology.
We report the case of two patients aged 25 and 34, Admitted to gyneco-obstetrical emergencies for abdominal pain, postprandial vomiting and occlusive syndrome all on an evolving pregnancy of 12 and 18 SA. Clinical examination found on palpation a generalized contracture in one case, defense of the right hypochondrium. Fetal heart sounds were positive. Abdominopelvic ultrasound revealed intraperitoneal effusion in both cases without associated obstetric lesion. The abdomino-pelvic scan done in emergency allowed an individualization of a stercorite at the level of the FID, without clear visualization of the appendic .
All patients were operated on within 24 hours of admission. Laparotomy found in both cases a gangrenous and perforated appendix associated with an intraperitoneal effusion which was removed and then aspirated. Retrograde appendectomy, peritoneal cleansing plus drainage was performed in all cases. Tocolysis and antibiotic therapy were instituted , The postoperative follow-up was simple.
Keywords:
Peritonitis; Appendix; Complication; Pregnency
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
