CASE 579: ACUTE APPENDICITIS in PREGNANCY, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

Woman 33 yo in pregnancy. PARA 3003 # 24 weeks WITH pain in RLAQ 24 HOURS AGO
  

OBSTETRIC ULTRASOUND PROVED NORMAL PREGNANCY IN  24WKS WITHOUT UTERUS CONTRACTION IN TOCOMETRY (PHOTO TOCO).

EMERGENCY ULTRASOUND  DETECTED APPENDIX IN BIG  LUMEN DUE  TO DILATATION (US 1, US 2, US 3).

BLOOD TESTS:  WBC RISED 9.8K  NEUTRO 40%, CRP 56..

MRI  WITHOUT GADO  DETECTED   BIG  LUMEN DILATED APPENDIX (MRI 1, MRI 2, MRI 3).

 

ENDOSCOPIC  OPERATION REMOVED ACUTE APPENDICITIS.

  

SUMMARY = ACUTE APPENDICITIS IN PREGNANCY IS DIFFICULT TO DIAGNOSE;   US AND MRI  CONTRIBUTING  TO DIAGNOSE  IN DIFFICULT CASE.

REFERENCE : CASE 548, APPENDICITIS IN PREGNANCY  (MEDIC ULTRASOUND CASE 548  PUB 01 MAY-2019)