Medical management of appendicitis in early-term pregnancy. Issue 8 (25th August 2020)

• Record Type: Journal Article
• Authors: Tavakoli, Amin; Wadensweiler, Paul; Blumenthal, Elizabeth; Kuncir, Eric; Houshyar, Roozbeh; Brueseke, Taylor
• Is Part Of: BMJ case reports. Volume 13:Issue 8(2020)
• Publication Date: 2020-08-25
• Subjects: obstetrics, gynaecology and fertility -- drugs: obstetrics and gynaecology -- pregnancy; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2020-234252
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 19-year-old G1 at 37 weeks presented with acute non-ruptured appendicitis. Her advanced gestational age and surgical anatomy presented a complex surgical scenario. She was treated with intravenous antibiotics and induction of labour, which resulted in resolution of the appendicitis and an uncomplicated vaginal delivery at early term. This case is an example that appendicitis occurring in early-term pregnancy can be successfully managed with intravenous antibiotics, but this is a complex clinical scenario with a limited evidence base to make management decisions. Future studies of medical management of appendicitis in pregnancy, specifically in later gestation, are needed to provide additional information to guide clinicians.