Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication
<p>Abstract</p> <p>The management of acute appendicitis during pregnancy is not fully established, especially regarding the choice between open and laparoscopic surgery during the third trimester. We report herein the case of a major uterine variecele hemorrhage during a laparoscop...
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2011-05-01
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Series: | Patient Safety in Surgery |
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doaj-a16ca384308c4fddbb7d1e533baf2b762020-11-25T02:27:31ZengBMCPatient Safety in Surgery1754-94932011-05-01511110.1186/1754-9493-5-11Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complicationHolzer ThomasPellegrinelli GianmariaMorel PhilippeToso Christian<p>Abstract</p> <p>The management of acute appendicitis during pregnancy is not fully established, especially regarding the choice between open and laparoscopic surgery during the third trimester. We report herein the case of a major uterine variecele hemorrhage during a laparoscopic appendectomy in a 27-year old pregnant patient at 33 weeks of amenorrhea. After conversion to a Pfannenstiel incision, the baby was delivered, the bleeding stopped and the appendectomy completed. While both mother and child fully recovered, this «near miss» complication underlines the challenges linked to the management of acute appendicitis during pregnancy. Based on a literature review, we propose an algorithm favoring the laparoscopic approach during the first and second trimesters, and the open approach during the third trimester (especially after the 26th week of amenorrhea). In case of unclear pre-operative diagnosis, a laparoscopy should be conducted even during the third trimester with a Mc Burney conversion when the diagnosis of appendicitis is confirmed.</p> http://www.pssjournal.com/content/5/1/11 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Holzer Thomas Pellegrinelli Gianmaria Morel Philippe Toso Christian |
spellingShingle |
Holzer Thomas Pellegrinelli Gianmaria Morel Philippe Toso Christian Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication Patient Safety in Surgery |
author_facet |
Holzer Thomas Pellegrinelli Gianmaria Morel Philippe Toso Christian |
author_sort |
Holzer Thomas |
title |
Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication |
title_short |
Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication |
title_full |
Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication |
title_fullStr |
Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication |
title_full_unstemmed |
Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication |
title_sort |
appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication |
publisher |
BMC |
series |
Patient Safety in Surgery |
issn |
1754-9493 |
publishDate |
2011-05-01 |
description |
<p>Abstract</p> <p>The management of acute appendicitis during pregnancy is not fully established, especially regarding the choice between open and laparoscopic surgery during the third trimester. We report herein the case of a major uterine variecele hemorrhage during a laparoscopic appendectomy in a 27-year old pregnant patient at 33 weeks of amenorrhea. After conversion to a Pfannenstiel incision, the baby was delivered, the bleeding stopped and the appendectomy completed. While both mother and child fully recovered, this «near miss» complication underlines the challenges linked to the management of acute appendicitis during pregnancy. Based on a literature review, we propose an algorithm favoring the laparoscopic approach during the first and second trimesters, and the open approach during the third trimester (especially after the 26th week of amenorrhea). In case of unclear pre-operative diagnosis, a laparoscopy should be conducted even during the third trimester with a Mc Burney conversion when the diagnosis of appendicitis is confirmed.</p> |
url |
http://www.pssjournal.com/content/5/1/11 |
work_keys_str_mv |
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