ACUTE APPENDICITIS IN PREGNANCY: AN INTEGRATIVE REVIEW OF DIAGNOSTIC STRATEGIES AND THERAPEUTIC APPROACHES
Keywords:
Acute Appendicitis, Pregnancy, Diagnosis, Laparoscopy, Maternal-Fetal ComplicationsAbstract
Acute appendicitis in pregnancy represents a challenging clinical condition due to maternal anatomical and physiological changes that hinder early diagnosis. Evidence indicates that imaging methods, particularly ultrasound and magnetic resonance imaging, are essential for safe disease detection, whereas isolated clinical assessment shows limited accuracy. Surgical treatment remains the gold standard, with laparoscopy standing out as a safe and effective technique, especially when performed within a multidisciplinary context involving obstetricians, surgeons, and radiologists. Adequate pain management and the judicious use of antibiotics are indispensable to ensure maternal and fetal safety. Studies demonstrate that diagnostic delays and maternal comorbidities are associated with a higher risk of perforation and increased morbidity and mortality. In this scenario, integrated protocols combining laboratory evaluation, imaging modalities, and consistent therapeutic strategies may optimize clinical care and reduce complications. In conclusion, the management of acute appendicitis in pregnancy requires early diagnosis, timely surgical intervention, and multidisciplinary follow-up to achieve favorable maternal and neonatal outcomes.
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Copyright (c) 2025 Jaime Javier Garcia Caro, Maria Eduarda Paludo Kafer, André Dutra de Morais, Claudia Batista do Nascimento, Bruna Lempek Trindade Dutra, Luísa Hemétrio Teixeira, Thayna Dalla Costa Arrais, Lucas Cassador Kobashigawa, Lorena Candida Ferreira Paixão, Pabllo Adelino Estevam Barbosa, Adriana Telles Régis, Danielle Moreno Fernandes Furtado Franco, Clara Vidal Barros, Yara Teresa Alves Zacarias, Thais Mendonça da Costa, Lúcio Flávio Corrêa Boaventura, Mayara Cardoso, Juliana Gonçalves Cadore, Tales Geraldo Zordan Ramos, Gabryella Moraes de Souza Gusmão, Jandaia Bortolini Marcon
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
