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RMJ. 2011; 36(2): 104-109


Suspected Appendicitis during Pregnancy : Prevalence and Management at Prince Hashem Ben AL-Hussein hospital(Zarqa/Jordan)

Wasfi M Salayta, Hasan Dahamsheh.

Abstract
Objective : to evaluate the clinical picture and outcome of suspected appendicitis in pregnant women.
Setting : Prince Hashem Ben Al-Hussein Hospital, Jordanian Royal Medical Cervices of Jordan / Zarqa .
Method : Retrospective analytic study of 28 appendectomies performed during pregnancy for suspected appendicitis in our hospital at period April 2004 to September 2006. All files and medical records of these patients were analyzed and studied. They including variables (demographic, clinical, laboratory and surgical outcomes data) were collected retrospectively. Prevalence of appendicitis were calculated from the total number of deliveries and abortions that occurred during this period. Number of correct and wrong diagnosis were reported and comparison of perinatal outcome, maternal morbidity and different variables in negative and positive laparotomy performed.
Results : The prevalence of suspected appendicitis in pregnancy is 0.29%. Incidence of negative laparotomies was 36%. The most diagnostic findings for acute appendicitis were history of periumbilical pain, anorexia and Rt iliac fossa findings.
Conclusion: The prevalence of suspected appendicitis during pregnancy in our environment during this period was higher than the reported incidence and rate of wrong diagnosis still high. Good clinical assessment with adjunct ultrasonic examination could reduce the incidence of negative laparotomies or prevent late complication. Delay in operation leading to higher rate of maternal morbidity and adversely affect the obstetric outcome

Key words: Pregnancy; Suspected; Acute appendicitis; Negative laparotomy; Prevalence



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