Abstract
Introduction
Acute appendicitis and symptomatic biliary stones are the most common indications for non-obstetrical surgical procedures during pregnancy. However, combination of these two clinical presentations in the same gestational period is anecdotal.
Case report
A 30-year-old twin pregnant patient complicated with acute appendicitis followed by cholecystitis was reported with poor fetal outcomes.
Conclusion
Despite appropriate management when two conditions, appendicitis and cholecystitis, occur in the same gestational period one after another complications might become inevitable.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kort B, Katz VL, Watson WJ (1993) The effect of nonobstetric operation during pregnancy. Surg Gynecol Obstet 177:371–376
Kammerer WS (1979) Nonobstetric surgery during pregnancy. Med Clin North Am 63:1157–1164
Firstenberg MS, Malangoni MA (1998) Gastrointestinal surgery during pregnancy. Gastroenterol Clin North Am 27:73–88
Al-Fozan H, Tulandi T (2002) Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol 14:375–379
Grimes DA (1996) Spontaneous perforation of the gallbladder from cholecystitis with acute appendicitis in pregnancy. A case report. J Reprod Med 41:450–452
Andersen B, Nielsen TF (1999) Appendicitis in pregnancy: diagnosis, management and complications. Acta Obstet Gynecol Scand 78:758–762
Maslovitz S, Gutman G, Lessing JB, Kupferminc MJ, Gamzu R (2003) The significance of clinical signs and blood indices for the diagnosis of appendicitis during pregnancy. Gynecol Obstet Invest 56:188–191
Stone K (2002) Acute abdominal emergencies associated with pregnancy. Clin Obstet Gynecol 45:553–561
Ames Castro M, Shipp TD, Castro EE, Ouzounian J, Rao P (2001) The use of helical computed tomography in pregnancy for the diagnosis of acute appendicitis. Am J Obstet Gynecol 184:954–957
Cobben LP, Groot I, Haans L, Blickman JG, Puylaert J (2004) MRI for clinically suspected appendicitis during pregnancy. AJR Am J Roentgenol 183:671–675
Pedrosa I, Levine D, Eyvazzadeh AD, Siewert B, Ngo L, Rofsky NM (2006) MR imaging evaluation of acute appendicitis in pregnancy. Radiology 238:891–899
Barton JR, Sibai BM, Ahokas RA, Whybrew WD, Mercer BM (1992) Magnesium sulfate therapy in preeclampsia is associated with increased urinary cyclic guanosine monophosphate excretion. Am J Obstet Gynecol 167:931–934
Golzarian J, Scott HW Jr, Richards WO (1994) Hypermagnesemia-induced paralytic ileus. Dig Dis Sci 39:1138–1142
Author information
Authors and Affiliations
Corresponding author
Additional information
Condensation: The acute appendicitis followed by cholecystitis in the same gestational period is an unusual clinical presentation which has poor fetal outcomes.
Rights and permissions
About this article
Cite this article
Başaran, A., Bozdağ, G., Aksu, A.T. et al. Twin pregnancy complicated with acute appendicitis and cholecystitis in the same gestational period. Arch Gynecol Obstet 276, 291–293 (2007). https://doi.org/10.1007/s00404-007-0331-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00404-007-0331-7