Akut Apandisit Nedeniyle Opere Edilen Gebe Hastaların Sonuçları: 37 Vaka Serisinin Tek Merkez Deneyimi

Year 2024, Volume: 21 Issue: 1, 36 - 41, 29.04.2024

Felat Çiftçi , Mazlum Yavaş

https://doi.org/10.35440/hutfd.1411520

Abstract

Amaç: Akut apandisit, gebelerde en sık görülen nonobstetrik akut batın sebebidir. Bu çalışmada geniş bir gebe volümüne sahip olan merkezimizde akut apandisit sebebiyle opere edilen gebe hastaları literatür eşliğinde değerlendirmeyi amaçladık.
Materyal Ve Metod: Kasım 2015-ağustos 2022 tarihleri arasında akut apandisit nedeniyle opere edilen hastaların verileri retrospektif olarak incelenerek elektronik ortamda kayıt altına alındı. Hastaların geliş şikayetleri, fizik muayene bulguları, radyolojik tahlilleri, operasyon tipi, patolojik verileri kaydedilerek literatür eşliğinde incelendi.
Bulgular: Opere edilen 37 hastanın yaş ortalaması 27,7 (20-42) idi. En sık 2. trimesterde (%48,6) akut apandisit tanısı konuldu. Hastaların en sık başvuru şikayeti karın ağrısı iken en sık fizik muayene bulgusu karında hassasiyet idi. 24 saatten fazla gecikme perforasyon riskini arttırıyor. Histopatolojik en sık görülen bulgu akut apandisit oldu. Bir hastada malignite, bir hastada ise enterobius vermicularis tespit edildi.
Sonuç: Gebe iken karın ağrısı olan hastalarda akut apandisit akılda tutulmalıdır. Zira tanının dolayısıyla ameliyatın gecikmesi hem fetal hem maternal ciddi morbidite ve mortaliteye sebep olmaktadır.

Keywords

laparoskopi, appendektomi, apandisit, gebe

Results of Pregnant Patients Operated Due to Acute Appendicitis: Single-Center Experience of 37 Case Series

Abstract

Background: Acute appendicitis is the most common nonobstetric cause of acute abdomen in pregnant women. In this study, we aimed to evaluate pregnant patients who were operated on for acute appen-dicitis in our center, which has a large pregnant population, in the light of the literature.
Materials and Methods: The data of patients operated on for acute appendicitis between November 2015 and August 2022 were retrospectively examined and recorded electronically. The patients' comp-laints, physical examination findings, radiological data, operation type, and pathological data were recorded and examined in the light of the literature.
Results: The average age of 37 patients who underwent appendectomy was 27.7 (20-42) years. In these patients, acute appendicitis was diagnosed most frequently in the 2nd trimester (48.6%). The most common presenting complaint of the patients was abdominal pain, and the most common physical examination finding was abdominal tenderness. Considering the admission time of the patients, it was observed that a delay of more than 24 hours increased the risk of perforation. Although the most com-mon histopathological finding was acute appendicitis, malignancy was detected in one patient and enterobius vermicularis was detected in another.
Conclusions: Acute appendicitis should be kept in mind in patients with new-onset right lower quad-rant abdominal pain during pregnancy. Because delay in diagnosis and therefore surgery causes serious morbidity and mortality for both the fetus and the mother.

Key Words: Appendicitis, Pregnant, Laparoscopy, Appendectomy

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