Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area
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 interventio...
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ftpubmed:oai:pubmedcentral.nih.gov:5830160 2023-05-15T16:29:02+02:00 Nonoperative Treatment of Appendicitis during Pregnancy in a Remote Area Carstens, Anne-Kathrine Fensby, Lise Penninga, Luit 2018-01 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830160/ https://doi.org/10.1055/s-0037-1620279 en eng Thieme Medical Publishers http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830160/ http://dx.doi.org/10.1055/s-0037-1620279 https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. CC-BY-NC-ND Text 2018 ftpubmed https://doi.org/10.1055/s-0037-1620279 2018-03-04T01:45:32Z 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. Text Greenland greenlandic inuit PubMed Central (PMC) Greenland American Journal of Perinatology Reports 08 01 e37 e38 |
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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 |
Text |
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 |
Thieme Medical Publishers |
publishDate |
2018 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830160/ https://doi.org/10.1055/s-0037-1620279 |
geographic |
Greenland |
geographic_facet |
Greenland |
genre |
Greenland greenlandic inuit |
genre_facet |
Greenland greenlandic inuit |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830160/ http://dx.doi.org/10.1055/s-0037-1620279 |
op_rights |
https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
https://doi.org/10.1055/s-0037-1620279 |
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American Journal of Perinatology Reports |
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08 |
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01 |
container_start_page |
e37 |
op_container_end_page |
e38 |
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1766018729798270976 |