ALGORITHM FOR DIAGNOSIS OF ACUTE APPENDICITIS IN PREGNANT WOMEN

Аннотация

Regardless of the duration of pain and gestational age, a clinically confirmed diagnosis of acute appendicitis requires immediate surgical intervention. In the study groups, diagnostic errors in the pre-hospital stage, especially associated with prolonged gestation, were high. In the retrospective subgroup of the study, this diagnosis was confirmed in 34% of 45 pregnant women with suspected acute appendicitis within the first 4-8 hours, and in 44.4% of 90 pregnant women in the prospective group, which clearly demonstrates the difficulties in diagnosing acute appendicitis in pregnant women. Diagnostic errors in the II and III trimesters of pregnancy were observed in 16.7%. Incorrect diagnoses at referral: threat of premature termination of pregnancy, acute pyelonephritis, renal colic, gastritis, duodenal ulcer, "acute abdomen". Errors in diagnosis can lead to inappropriate hospitalization, delayed treatment, and other complications.