EC Gynaecology

Introduction: We carried out this study to describe, thanks to our experiences, the epidemiological profile as well as the main problems encountered in the face of acute appendicitis, emphasizing the clinical, paraclinical, anesthetic and therapeutic particularities in a gravid woman as well as the limits and risks of the classical diagnostics tools during pregnancy.

Methodology: This is a retrospective study of cases of acute appendicitis during pregnancy in the gyneco-obstetrics department II CHU Hassan II Fez during a period from January 2014 until December 2017.

Results: The average age in our study was 26.5 years. The frequency was significantly high in the 3^rd trimester (50%). The clinical examination was often confusing, hampered by the pregnancy. The most common clinical signs were: abdominal pain (83.33%) and fever (66.66%). Biological exams are an additional diagnostic tool, allowing to affirm or deny the diagnosis. Ultrasound was requested in all our patients revealing an aspect in favor of simple acute appendicitis which was used as the first-line examination. Treatment was surgical in 66.66% of our patients. The postoperative outcome was favorable in all patients.

Conclusion: The occurrence of acute appendicitis during pregnancy constitutes a real problem. The diagnostic difficulty is major and the delay in therapeutic care favors the occurrence of maternal and fetal complications.

 Keywords: Acute Appendicitis; Pregnancy; Management

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