Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
A Case of Laparoscopic Appendectomy for Acute Appendicitis in Patient in her 26TH Week of Pregnancy
Arisa MorizonoYoshiaki HaraHirotoshi Kobayashi
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2018 Volume 38 Issue 3 Pages 579-582

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Abstract

Although laparoscopic appendectomy (LA) has been widely practiced in Japan as a safe and beneficial procedure for the treatment of acute appendicitis, LA in pregnancy still remains controversial especially in the case of complicated appendicitis. We experienced a case of laparoscopic appendectomy for the acute appendicitis in a patient in her 26th week of pregnancy. The chief complaint was right lower quadrant pain. Abdominal CT confirmed a swollen appendix without any sign of perforation including ascites or free air. We decided to perform laparoscopic surgery based on the wide field of vision, less invasion, cosmetic aspect, and early ambulation after surgery. Laparoscope revealed a perforated appendix and periappendicular abscess. Through careful and appropriate positioning of the trocar, we completed the operation safely. Although she temporarily developed signs suggesting threatened premature delivery during the perioperative period, she was delivered of a healthy baby in her 40th week without complications under obstetrical management. Although the indication of LA for complicated cases of appendicitis should be strictly considered, LA could be beneficial and safely performed also in pregnancy.

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© 2018, Japanese Society for Abdominal Emargency Medicine
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