Volume 17, Issue 2 p. 105-110
Review

Appendicitis in pregnancy: how to manage and whether to deliver

Polly Weston Bsc(Hons) MBChB (Bristol) MRCOG FRANZCOG

Corresponding Author

Polly Weston Bsc(Hons) MBChB (Bristol) MRCOG FRANZCOG

Consultant Obstetrician and Gynaecologist, Clinical Risk Management Lead

Joondalup Health Campus, Corner Shenton Ave and Grand Blvd, Joondalup, Western Australia, 6027

Correspondence: Polly Weston. Email: [email protected]Search for more papers by this author
Paul Moroz BSc (Hons) MBBS PhD (Dist) FRACS

Paul Moroz BSc (Hons) MBBS PhD (Dist) FRACS

Professor of Surgery

University of Western Australia, Joondalup Health Campus, 60 Shenton Ave, Joondalup, Western Australia, 6027

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First published: 03 April 2015
Citations: 11

Abstract

Key content

  • Appendicitis in pregnancy is common.
  • Whether to deliver a pregnant woman with appendicitis is a contentious issue.
  • There are many uncertainties with diagnosis of appendicitis in pregnancy.
  • Management of pregnant women with appendicitis requires a multidisciplinary approach involving obstetricians, anaesthetists and surgeons.

Learning objectives

  • To understand the modalities useful in accurate diagnosis of appendicitis in pregnancy.
  • To learn about the range of clinical presentations and differential diagnoses.
  • To appreciate the risks involved with different management options, anaesthetic and surgical.
  • To be able to manage a pregnant woman with suspected appendicitis for the best possible outcome.

Ethical issues

  • Operative delivery of a pregnant woman with appendicitis may put her at unnecessary risk. How should she best be managed for the best possible outcome for her and the fetus?