Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area
Abstract Appendicitis is the most common nonobstetric surgical disease during pregnancy. Appendicitis during pregnancy is associated with an increased risk of morbidity and perforation compared with the general population. Furthermore, it may cause preterm birth and fetal loss, and quick surgical in...
Published in: | American Journal of Perinatology Reports |
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Georg Thieme Verlag KG
2018
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Online Access: | http://dx.doi.org/10.1055/s-0037-1620279 http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1620279.pdf |
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crthieme:10.1055/s-0037-1620279 2024-06-23T07:53:21+00:00 Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area Carstens, Anne-Kathrine Fensby, Lise Penninga, Luit 2018 http://dx.doi.org/10.1055/s-0037-1620279 http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1620279.pdf en eng Georg Thieme Verlag KG https://creativecommons.org/licenses/by-nc-nd/4.0/ American Journal of Perinatology Reports volume 08, issue 01, page e37-e38 ISSN 2157-6998 2157-7005 journal-article 2018 crthieme https://doi.org/10.1055/s-0037-1620279 2024-06-04T06:29:24Z Abstract Appendicitis is the most common nonobstetric surgical disease during pregnancy. Appendicitis during pregnancy is associated with an increased risk of morbidity and perforation compared with the general population. Furthermore, it may cause preterm birth and fetal loss, and quick surgical intervention is the established treatment option in pregnant women with appendicitis. In Greenland, geographical distances are very large, and weather conditions can be extreme, and surgical care is not always immediately available. Hence, antibiotic treatment is often initiated as a bridge-to-surgery. We report on a pregnant Greenlandic Inuit woman with appendicitis who was treated with intravenous antibiotics. Antibiotic treatment was successful before surgical care became available and the patient was not operated. No complications occurred, and further pregnancy was uneventful. Our case suggests that antibiotic treatment of appendicitis during pregnancy as a bridge-to-surgery may be a sensible treatment option in remote areas, where no surgical care is immediately available. In some cases, antibiotic treatment may turn out to be definitive treatment. Article in Journal/Newspaper Greenland greenlandic inuit Thieme Greenland American Journal of Perinatology Reports 08 01 e37 e38 |
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description |
Abstract Appendicitis is the most common nonobstetric surgical disease during pregnancy. Appendicitis during pregnancy is associated with an increased risk of morbidity and perforation compared with the general population. Furthermore, it may cause preterm birth and fetal loss, and quick surgical intervention is the established treatment option in pregnant women with appendicitis. In Greenland, geographical distances are very large, and weather conditions can be extreme, and surgical care is not always immediately available. Hence, antibiotic treatment is often initiated as a bridge-to-surgery. We report on a pregnant Greenlandic Inuit woman with appendicitis who was treated with intravenous antibiotics. Antibiotic treatment was successful before surgical care became available and the patient was not operated. No complications occurred, and further pregnancy was uneventful. Our case suggests that antibiotic treatment of appendicitis during pregnancy as a bridge-to-surgery may be a sensible treatment option in remote areas, where no surgical care is immediately available. In some cases, antibiotic treatment may turn out to be definitive treatment. |
format |
Article in Journal/Newspaper |
author |
Carstens, Anne-Kathrine Fensby, Lise Penninga, Luit |
spellingShingle |
Carstens, Anne-Kathrine Fensby, Lise Penninga, Luit Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area |
author_facet |
Carstens, Anne-Kathrine Fensby, Lise Penninga, Luit |
author_sort |
Carstens, Anne-Kathrine |
title |
Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area |
title_short |
Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area |
title_full |
Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area |
title_fullStr |
Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area |
title_full_unstemmed |
Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area |
title_sort |
nonoperative treatment of appendicitis during pregnancy in a remote area |
publisher |
Georg Thieme Verlag KG |
publishDate |
2018 |
url |
http://dx.doi.org/10.1055/s-0037-1620279 http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1620279.pdf |
geographic |
Greenland |
geographic_facet |
Greenland |
genre |
Greenland greenlandic inuit |
genre_facet |
Greenland greenlandic inuit |
op_source |
American Journal of Perinatology Reports volume 08, issue 01, page e37-e38 ISSN 2157-6998 2157-7005 |
op_rights |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.1055/s-0037-1620279 |
container_title |
American Journal of Perinatology Reports |
container_volume |
08 |
container_issue |
01 |
container_start_page |
e37 |
op_container_end_page |
e38 |
_version_ |
1802644943311732736 |