Abstract
CASE (1) A 22-year-old woman in 31 weeks gestation was admitted to the hospital because of an abdominal pain which started in the preceding evening before admission. The pain was intermittent in its nature and existed all over the abdomen. On the next day, the pain was inclined to shift toward the the right side of the abdomen. Laparotomy, performed two days after the admission, revealed perforation of appendix and pus discharge in the right side peritoneal cavity. She delivered a normal female infant vaginally.
CASE (2) A 25-year-old woman in 33 weeks gestation was admitted to the hospital because of an abdominal pain, which started with epigastric pain in the preceding evening and became sevre all over the abdomen in the morning of the day of the admission. In the afternoon, pain became to be localized in the right side. Operation revealed a re-markably inflamed appendix and regional pus retention. She delivered a healthy male infant by the cesarian section in 38 weeks gestation.
In the last trimester, diagnosis of appendicitis may be difficult for atypical or indiffinite signs and symptoms caused by enlarged uterus and migrated appendix. We should not be reluctant to perform an operation, because appendicitis with peritonitis has a high risk of fetal death or premature labour.
