Symptoms of appendicitis in pregnancy

summary

Pregnancy associated with appendicitis is a common surgical disease during pregnancy. The incidence rate of acute appendicitis in pregnant women is 0.1-2.9%, and China's data is 0.1-2.95%. Acute appendicitis can occur in all stages of pregnancy, but most of them occur in the first 6 months of pregnancy. Pregnancy does not induce appendicitis. The enlarged uterus can change the appendix position, increase the diagnostic difficulty. In addition, the incidence of perforation and peritonitis is easy to happen in pregnancy. The incidence rate is 1.5-3.5 times of non pregnancy. Therefore, early diagnosis and timely treatment have an important impact on the prognosis. Tell us about the symptoms of appendicitis in pregnancy.

Symptoms of appendicitis in pregnancy

1. Metastatic right lower abdominal pain: typical acute appendicitis, abdominal pain begins in the upper abdomen or around the navel, patients can not accurately identify the exact location of pain. After several hours or more than ten hours, abdominal pain transferred to the right lower abdomen, and the pain was persistent. About 70-80% of the patients have the above-mentioned history of abdominal pain.

2. Gastrointestinal symptoms: got acute appendicitis, generally accompanied by nausea, vomiting, loss of appetite, diarrhea or constipation and other symptoms. Systemic symptoms: once onset, more accompanied by dizziness, headache, weakness and other symptoms. If the condition is serious, there will be fever, panic and other symptoms.

3. There is a significant tenderness point: after the attack of appendicitis, there is an obvious tenderness point in the right lower abdomen, which is also the most important feature of appendicitis. Appendicitis in pregnancy is a common and serious complication. Due to the enlargement of uterus, the position of appendix and omentum changes, and the clinical manifestations are not typical. If the doctor does not have rich clinical experience, it is easy to cause misdiagnosis and delay treatment, the appendix is easy to perforation, the inflammation is not easy to be limited, and it is easy to develop into diffuse peritonitis, sepsis or even septic shock, fetal death, abortion or premature birth.

matters needing attention

The prognosis of acute appendicitis during pregnancy is related to the severity of appendicitis during pregnancy and operation. In early pregnancy, appendicitis is easy to be diagnosed and has a good prognosis. The closer to the third trimester of pregnancy, the more difficult the diagnosis, the greater the probability of misdiagnosis, delayed treatment leads to appendiceal perforation, and even diffuse peritonitis, resulting in increased maternal mortality.