title: Premature labor in a women with perforating appendicitis at 36 weeks of gestation. A case report.
abstract: BACKGROUND
  Acute appendicitis during pregnancy is a serious complication because of the difficult diagnosis and increased perinatal morbidity and mortality.
  
  
  METHODS
  A 29-year-old woman underwent cesarean section and an appendectomy because of clinical symptoms of an acute abdomen and fetal distress.
  
  
  CONCLUSIONS
  Acute appendicitis in pregnancy is rare but requires special attention to maternal and fetal morbidity and mortality. In this case, acute appendicitis and peritonitis were associated with uterine contractions and fetal distress. How extrauterine infections may mediate uterine contractions and fetal distress remains unsolved.
authors.affiliation: Department of Obstetrics and Gynecology, Vienna Medical School, University of Vienna, Vienna, Austria.
authors.forename: Rainer
authors.initials: R
authors.lastname: Lehner
authors.forename: Barbara
authors.initials: B
authors.lastname: Tringler
authors.forename: Karin
authors.initials: K
authors.lastname: Stengg
authors.forename: Nima
authors.initials: N
authors.lastname: Goharkhay
mesh_terms: D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000150:complications*; D005260:Female; D005865:Gestational Age; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications*; D007752:Obstetric Labor, Premature / Q000209:etiology*; D011247:Pregnancy