中期妊娠合并阑尾炎穿孔致继发性腹膜炎一例
Secondary Peritonitis Caused by Perforation of Appendicitis in Second Trimester: A Case Report
DOI: 10.12677/ACM.2022.12111516, PDF,   
作者: 孙常凤:平邑县人民医院,山东 临沂;左建新*:青岛大学附属医院产科,山东 青岛
关键词: 急性阑尾炎阑尾炎穿孔继发性腹膜炎阑尾切除术Acute Appendicitis Perforated Appendicitis Secondary Peritonitis Appendectomy
摘要: 急性阑尾炎是最常见的非产科手术急症。但由于妊娠期生理、解剖的变化很容易出现漏诊、误诊,阑尾炎穿孔在临床较为少见。本文通过对此疾病的学习并结合最新文献资料,提高对急性阑尾炎的诊疗水平。
Abstract: Acute appendicitis (AA) is the most common non-obstetric emergency. It is easy to miss diagnosis and misdiagnosis due to the physiological and anatomical changes during pregnancy. This paper improves the level of diagnosis and treatment of acute appendicitis by learning this disease and combining with the latest literature.
文章引用:孙常凤, 左建新. 中期妊娠合并阑尾炎穿孔致继发性腹膜炎一例[J]. 临床医学进展, 2022, 12(11): 10532-10538. https://doi.org/10.12677/ACM.2022.12111516

参考文献

[1] Kave, M., Parooie, F. and Salarzaei, M. (2019) Pregnancy and Appendicitis: A Systematic Review and Meta-Analysis on the Clinical Use of MRI in Diagnosis of Appendicitis in Pregnant Women. World Journal of Emergency Surgery, 14, Article No. 37. [Google Scholar] [CrossRef] [PubMed]
[2] De Wilde, J.P., Rivers, A.W. and Price, D.L. (2005) A Review of the Current Use of Magnetic Resonance Imaging in Pregnancy and Safety Implications for the Fetus. Progress in Biophysics and Molecular Biology, 87, 335-353. [Google Scholar] [CrossRef] [PubMed]
[3] Mourad, J., Elliott, J.P., Erickson, L. and Lisboa, L. (2000) Appendicitis in Pregnancy: New Information That Contradicts Long-Held Clinical Beliefs. American Journal of Obstet-rics & Gynecology, 182, 1027-1029. [Google Scholar] [CrossRef] [PubMed]
[4] Dewhurst, C., Beddy, P. and Pedrosa, I. (2013) MRI Evaluation of Acute Appendicitis in Pregnancy. Journal of Magnetic Resonance Imaging, 37, 566-575. [Google Scholar] [CrossRef] [PubMed]
[5] Oto, A., Srinivasan, P.N., Ernst, R.D., Koroglu, M., Cesani, F., Nishino, T. and Chaljub, G. (2006) Revisiting MRI for Appendix Location during Pregnancy. American Journal of Roentgenology, 186, 883-887. [Google Scholar] [CrossRef
[6] Abbasi, N., Patenaude, V. and Abenhaim, H.A. (2014) Management and Outcomes of Acute Appendicitis in Pregnancy—Population-Based Study of Over 7000 Cases. BJOG: An International Journal of Obstetrics & Gynaecology, 121, 1509-1514. [Google Scholar] [CrossRef] [PubMed]
[7] Augustin, G. and Majerovic, M. (2007) Non-Obstetrical Acute Abdomen during Pregnancy. European Journal of Obstetrics & Gynecology and Reproductive Biology, 131, 4-12. [Google Scholar] [CrossRef] [PubMed]
[8] Pearl, J., Price, R., Richardson, W. and Fanelli, R. (2011) Guidelines for Diagnosis, Treatment, and Use of Laparoscopy for Surgical Problems during Pregnancy. Surgical Endoscopy, 25, 3479-3492. [Google Scholar] [CrossRef] [PubMed]
[9] Ghali, M.A.E., Kaabia, O., Mefteh, Z.B., Jgham, M., Tej, A., Sghayer, A., Gouidar, A., Brahim, A., Ghrissi, R. and Letaief, R. (2018) Acute Appendicitis Complicating Pregnancy: A 33 Case Series, Diagnosis and Management, Features, Maternal and Neonatal Outcomes. Pan African Medical Journal, 30, Article 212. [Google Scholar] [CrossRef] [PubMed]
[10] Theilen, L.H., Mellnick, V.M., Shanks, A.L., Tuuli, M.G., Odibo, A.O., Macones, G.A. and Cahill, A.G. (2017) Acute Appendicitis in Pregnancy: Predictive Clinical Factors and Preg-nancy Outcomes. American Journal of Perinatology, 34, 523-528. [Google Scholar] [CrossRef] [PubMed]
[11] Segev, L., Segev, Y., Rayman, S., Nissan, A. and Sadot, E. (2017) Acute Appendicitis during Pregnancy: Different from the Nonpregnant State? World Journal of Surgery, 41, 75-81. [Google Scholar] [CrossRef] [PubMed]
[12] Sazhin, A.V., Kirienko, A.I., Kurtser, M.A., Konoplyannikov, A.G., Panin, A.V., Son, D.A. and Shulyak, G.D. (2019) Ostryĭ appenditsit u beremennykh [Acute Appendicitis during Pregnancy]. Pirogov Journal of Surgery, No. 1, 70-77. (In Russian) [Google Scholar] [CrossRef] [PubMed]
[13] Sazhin, A.V., Kurtser, M.A., Konoplyannikov, A.G., Ivakhov, G.B., Panin, A.V., Son, D.A., Shulyak, G.D. and Serebrennikova, Y.A. (2019) Oslozhnennye formy ostrogo ap-penditsita u beremennykh [Complicated Appendicitis during Pregnancy]. Pirogov Journal of Surgery, No. 4, 15-23. (In Russian) [Google Scholar] [CrossRef] [PubMed]
[14] Lebeau, R., Diané, B., Koffi, E., Bohoussou, E., Koua-mé, A. and Doumbia, Y. (2005) Appendicite aiguë et grossesse: À propos de 21 cas [Appendicitis and Pregnancy: 21 Cases]. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 34, 600-605. [Google Scholar] [CrossRef
[15] Hajibandeh, S., Hajibandeh, S., Hobbs, N. and Mansour, M. (2020) Neutrophil-to-Lymphocyte Ratio Predicts Acute Appendicitis and Distinguishes between Complicated and Un-complicated Appendicitis: A Systematic Review and Meta-Analysis. The American Journal of Surgery, 219, 154-163. [Google Scholar] [CrossRef] [PubMed]
[16] Lukenaite, B., Luksaite-Lukste, R., Mikalauskas, S., Samuilis, A., Strupas, K. and Poškus, T. (2021) Magnetic Resonance Imaging Reduces the Rate of Unnecessary Operations in Pregnant Patients with Suspected Acute Appendicitis: A Retrospective Study. Annals of Surgical Treatment and Re-search, 100, 40-46. [Google Scholar] [CrossRef] [PubMed]
[17] Aggenbach, L., Zeeman, G.G., Cantineau, A.E., Gordijn, S.J. and Hofker, H.S. (2015) Impact of Appendicitis during Pregnancy: No Delay in Accurate Diagnosis and Treatment. Interna-tional Journal of Surgery, 15, 84-89. [Google Scholar] [CrossRef] [PubMed]
[18] Guttman, R., Goldman, R.D. and Koren, G. (2004) Appendicitis during Pregnancy. Canadian Family Physician, 50, 355-357.
[19] Mejri, A., Arfaoui, K. and Trigui, E. (2022) Acute Appendicitis in Pregnant Women: A Tunisian Center Experience. Medicine, 101, e28574. [Google Scholar] [CrossRef
[20] Snyder, M.J., Guthrie, M. and Cagle, S. (2018) Acute Ap-pendicitis: Efficient Diagnosis and Management. American Family Physician, 98, 25-33.
[21] Prodromidou, A., Mach-airas, N., Kostakis, I.D., Molmenti, E., Spartalis, E., Kakkos, A., Lainas, G.T. and Sotiropoulos, G.C. (2018) Outcomes after Open and Laparoscopic Appendectomy during Pregnancy: A Meta-Analysis. European Journal of Obstetrics & Gynecology and Reproductive Biology, 225, 40-50. [Google Scholar] [CrossRef] [PubMed]
[22] Ball, E., Waters, N., Cooper, N., Talati, C., Mallick, R., Rabas, S., Mukherjee, A., Sri Ranjan, Y., Thaha, M., Dodia, R., Keedwell, R., Madhra, M., Kuruba, N., Malhas, R., Gaughan, E., Tompsett, K., Gibson, H., Wright, H., Gnanachandran, C., Gokhale, L., Hookaway, T., Baker, C., Murali, K., Jurkovic, D., Amso, N., Clark, J., Thangaratinam, S., Chalhoub, T., Kaloo, P. and Saridogan, E. (2019) Correction: Evi-dence-Based Guideline on Laparoscopy in Pregnancy: Commissioned by the British Society for Gynaecological Endos-copy (BSGE) Endorsed by the Royal College of Obstetricians & Gynaecologists (RCOG). Facts, Views & Vision in ObGyn, 11, 5-25.
[23] Ashbrook, M., Cheng, V., Sandhu, K., Matsuo, K., Schellenberg, M., Inaba, K. and Matsushima, K. (2022) Management of Complicated Appendicitis During Pregnancy in the US. JAMA Netw Open, 5, e227555. [Google Scholar] [CrossRef] [PubMed]
[24] Gentles, J.Q., Meglei, G., Chen, L., Hague, C.J. and Melck, A L. (2020) Is Neutrophilia the Key to Diagnosing Appendicitis in Pregnancy? The American Journal of Surgery, 219, 855-859. [Google Scholar] [CrossRef] [PubMed]
[25] Akbas, A., Aydın Kasap, Z., Hacım, N.A., Tokocin, M., Altınel, Y., Yiğitbaş, H., Meriç, S. and Okumuş, B. (2020) The Value of Inflammatory Markers in Diag-nosing Acute Appendicitis in Pregnant Patients. Turkish Journal of Trauma and Emergency Surgery, 26, 769-776. [Google Scholar] [CrossRef] [PubMed]
[26] Liu, J., Ahmad, M., Wu, J., Tong, X.J., Zeng, H.Z., Chan, F.S. and Fan, J.K.M. (2021) Antibiotic Is a Safe and Feasible Option for Uncomplicated Appendicitis in Pregnancy—A Retro-spective Cohort Study. Asian Journal of Endoscopic Surgery, 14, 207-212. [Google Scholar] [CrossRef] [PubMed]
[27] Di Saverio, S., Podda, M., De Simone, B., Ceresoli, M., Augustin, G., Gori, A., Boermeester, M., Sartelli, M., Coccolini, F., Tarasconi, A., De’ Angelis, N., Weber, D.G., Tolonen, M., Bi-rindelli, A., Biffl, W., Moore, E.E., Kelly, M., Soreide, K., Kashuk, J., Ten Broek, R., Gomes, C.A., Sugrue, M., Davies, R.J., Damaskos, D., Leppäniemi, A., Kirkpatrick, A., Peitzman, A.B., Fraga, G.P., Maier, R.V., Coimbra, R., Chiarugi, M., Sganga, G., Pisanu, A., De’ Angelis, G.L., Tan, E., Van Goor, H., Pata, F., Di Carlo, I., Chiara, O., Litvin, A., Campanile, F.C., Sakakushev, B., Tomadze, G., Demetrashvili, Z., Latifi, R., Abu-Zidan, F., Romeo, O., Segovia-Lohse, H., Baiocchi, G., Costa, D., Rizoli, S., Balogh, Z.J., Bendinelli, C., Scalea, T., Ivatury, R., Velmahos, G., Andersson, R., Kluger, Y., Ansaloni, L. and Catena, F. (2020) Diagnosis and Treatment of Acute Appendicitis: 2020 Update of the WSES Jerusalem Guidelines. World Journal of Emergency Surgery, 15, Article No. 27. [Google Scholar] [CrossRef] [PubMed]
[28] Aguilera, F., Gilchrist, B.F. and Farkas, D.T. (2018) Accuracy of MRI in Diagnosing Appendicitis during Pregnancy. The American Surgeon, 84, 1326-1328. [Google Scholar] [CrossRef
[29] Germer, C.T. and Reibetanz, J. (2019) Laparoskopische vs. Offene Appendektomie bei Vermuteter Appendizitis in der Schwangerschaft [Suspected Appendicitis during Pregnancy: Laparoscopic or Open Approach?]. Der Chirurg, 90, Article No.675. (In German) [Google Scholar] [CrossRef] [PubMed]
[30] Lee, S.H., Lee, J.Y., Choi, Y.Y. and Lee, J.G. (2019) Laparo-scopic Appendectomy versus Open Appendectomy for Suspected Appendicitis during Pregnancy: A Systematic Review and Updated Meta-Analysis. BMC Surgery, 19, Article No. 41. [Google Scholar] [CrossRef] [PubMed]
[31] Yang, J., Wen, S.W., Krewski, D., Corsi, D.J., Walker, M., Mattison, D., Moog, R., McNair, D., Huang, H. and Zhuang, G. (2021) Association of Treatments for Acute Appendici-tis with Pregnancy Outcomes in the United States from 2000 to 2016: Results from a Multi-Level Analysis. PLOS ONE, 16, e0260991. [Google Scholar] [CrossRef] [PubMed]
[32] Cai, Y.L., Yang, S.S., Peng, D.Z., Jia, Q.B., Li, F.Y., Ye, H. and Cheng, N.S. (2020) Laparoscopic Appendectomy Is Safe and Feasible in Pregnant Women during Second Trimester: A Retrospective Study in a Top-Level Chinese Center. Medicine, 99, e21801. [Google Scholar] [CrossRef
[33] Liu, T., Jiang, K. and Bi. Y. (2022) Endoscopic Retrograde Appendicitis Therapy in a Pregnant Patient with Acute Septic Appendicitis. Asian Journal of Surgery, 45, 2070-2071. [Google Scholar] [CrossRef] [PubMed]