Delayed diagnosis of appendicitis in puerperium: case report

Yıl 2017, Cilt: 8 Sayı: 4, 208 - 210, 01.06.2017

Nevin Sağsöz , Ceyhan Taşdelen Murat Bulanık , Gökhan Karaca

https://doi.org/10.18663/tjcl.296076

Öz

Problems such as
infection and pain that occur in the puerperium are frequently assumed to be
related to pregnancy or delivery. Nevertheless, other important causes should
also be kept in mind. Acute appendicitis is the most common non-obstetrics an
acute surgical condition in pregnancy. In current report, a patient who had
applied to our clinic with abdominal pain, high body temperature and high
C-reactive protein in puerperium and diagnosed as acute appendicitis and later performed
appendectomy was presented and the topic was discussed along with the
literature review.

Anahtar Kelimeler

Puerperium, appendicitis, postpartum period

Gecikmiş tanı tedeniyle püerperiumda apandisit: olgu sunumu

Öz

Lohusalık
döneminde ortaya çıkan enfeksiyon ve ağrı gibi nedenlerin sıklıkla gebelik ve
doğuma bağlı olduğu kabul edilir. Ancak, diğer önemli nedenlerde akılda
tutulmalıdır. Akut apandisit gebelikte obstetrik nedenler dışında, en sık
karşılaşılan akut cerrahi gerektiren durumdur. Bu yazıda; püerperal dönemde
karın ağrısı, yüksek vücut ısısı ve yüksek C-reaktif protein ile kliniğimize
başvuran akut apandisit tanısı alan bir hasta sunuldu ve konu literatür bilgisi
eşliğinde tartışıldı.

Anahtar Kelimeler

Püerperium, apandisit, postpartum dönem

Kaynakça

• 1. Parangi S, Levine D, Henry A, Isakovich N, Pories S. Surgical gastrointestinal disorders during pregnancy. Am J Surg 2007; 19: 223-32.
• 2. Buckius MT, McGrath B, Monk J, Grim R, Bell T, Ahuja V. Changing epidemiology of acute appendicitis in the United States: study period 1993–2008. J Surg Res 2012; 175: 185-90.
• 3. Long SS, Long C, Lai H, Macura KJ. Imaging strategies for right lower quadrant pain in pregnancy. Am J Roentgenol 2011; 196: 4-12.
• 4. Guttman R, Goldman RD, Koren G. Appendicitis during pregnancy. Can Fam Phys Medecin de Famille Canadien 2004; 50: 355-7.
• 5. Woodfield CA, Lazarus E, Chen KC, Mayo-Smith WW. Abdominal pain in pregnancy: diagnoses and imaging unique to pregnancy–review. Am J Roentgenol 2010; 194: Ws14-Ws30.
• 6. Old J, Dusing R, Yap W, Dirks J. Imaging for Suspected Appendicitis. Am Fam Phys 2005; 71: 71-8.
• 7. Zingone F, Sultan AA, Humes DJ, West J. Risk of acute appendicitis in and around pregnancy: a population-based cohort study from England. Ann Surg 2015; 26: 332-7.
• 8. Milica B, Biljan KK, Tosić V, et al. Appendicitis in puerperium--case report. Acta Chir Iugosl 2011; 58: 111-2.
• 9. Gerstle RK. Postpartum appendicitis presenting as RUQ pain. Am Fam Physician 2008; 77: 282-3.
• 10. Wadhawan D, Singhal S, Sarda N, Arora R. Appendicitis in Postpartum Period: A Diagnostic Challenge. J Clin Diagn Res 2015; 9: QD10-1.
• 11. Ghimire R, Sharma A, Bohara S. Role of C-reactive Protein in Acute Appendicitis. Kathmandu Univ Med J (KUMJ) 2016; 54: 130-3.
• 12. Sleem R, Fisher S, Gestring M, et al. Perforated appendicitis: is early laparoscopic appendectomy appropriate? Surgery 2009; 146: 731-7 Discussion 737-8.