Peritoneovaginal Fistula and Appendicitis-Related Pelvic Abscess in Pregnancy
AJP Rep 2020; 10: e129-e132 DOI: 10.1055/s-0040-1708849Appendicitis in pregnancy is the most common nonobstetric surgical emergency. Pregnancy causes changes in anatomy, which could lead to uncertainty regarding the diagnosis of appendicitis. This case report describes a case of appendicitis presenting with peritoneovaginal fistula in a pregnant woman in the second trimester, with interesting finding of isolated appendiceal endometriosis on pathology. The importance of complete physical examination, including speculum examination, is emphasized in the pregnant patient presenting with acute-onset abdominal pain. Imaging criteria for diagnosis of appendicitis should be adjusted to account for the gravid uterus, which may cause appendiceal abscess to appear in a variety of locations, such as posterior to the cervix, as in this case. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | open access Full text
Source: American Journal of Perinatology Reports - Category: Perinatology & Neonatology Authors: Saleh, Mona Kim, Antonia Francis Gardner, Andrew Sun, Katherine Brubaker, Sara Tags: Case Report Source Type: research
More News: Anatomy | Appendicitis | Emergency Medicine | Endometriosis | Pain | Pathology | Perinatology & Neonatology | Pregnancy