Abstract
Herein, we report a case of acute appendicitis during pregnancy that was treated with laparoscopic interval appendectomy after emergent percutaneous abscess drainage. A 35-year-old woman in the twelfth week of pregnancy was admitted to our hospital complaining of right lower abdominal pain. Ultrasound and MRI scans revealed a 5-cm fluid and gas collection in the retrocecal area, and abscess formation was diagnosed as acute appendicitis. Percutaneous abscess drainage was performed with sufficient effort to reduce fetal radiation exposure, and continuous drainage shrunk the collection significantly. Laparoscopic appendectomy was performed 33 days after the first admission. The postoperative course, pregnancy course, and fetal development were uneventful. The patient was discharged on day 6, and she delivered a healthy boy weighing 2880 g in the 41st week without complications. To our knowledge, this is the first report of laparoscopic interval appendectomy via percutaneous abscess drainage for acute appendicitis during pregnancy.
