Short communication, Note

APPENDICITIS IN THE EARLY PUERPERIUM: CASE REPORT

Ivan Kuvačić
Snježana Škrablin
Božidar Župančić
Helena Lovrić

Abstract

Appendicitis is the most common nonobstetric surgical diagnosis in pregnancy, but the diagnosis during immediate postpartum period is exceptionally rare. The case of a 27 year-old puerpera who survived a rather unspecific clinical course of the disease is presented. Initial abdominal symptoms had occurred two days before term delivery but the signs of abdominal disease had been obscured by the preparation for the process of the delivery and usual complaints during the early puerperium. A day after delivery, puerpera again complained of nausea and vomiting. The abdomen was somewhat tender, but without defense, laboratory parameters were within normal limits and abdominal X rays revealed nothing suspicious, so conservative therapy was initially administered. During the next two days meteorism occurred, abdominal tenderness increased and the laboratory findings deteriorated. Now abdominal X rays prompted urgent explorative¬ laparatomy and the patient was saved.

Keywords

appendicitis; puerperium

Hrčak ID:

15536

URI

https://hrcak.srce.hr/15536

Publication date:

1.9.2003.

Article data in other languages: croatian

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