[Appendicitis and advanced pregnancy. Apropos of 3 cases in the National Hospital of Niamey, Niger].
Acute appendicitis during pregnancy is uncommon but a serious situation even in developed countries with imaging and laboratories' poor means. Failure to diagnose this disease during advanced pregnancy exposes foetus and mother to serious complications. In this atypical clinical picture associated with non-significant biologic sign only using sonogram can help to early diagnosis. In our developing countries where obstetrical exam was performed by paramedical or general doctor, in doubt the patient must be transferred in medical centre with a capacity of imaging or laboratory exams. Surgical treatment must be undertaken after surgeon, obstetrician, and other physicians's consultation. Antibiotic and tocolytic treatments are urgent. In this study, all babies were lost by premature labour occurred after surgery.
Harouna
Y D
YD
Service de chirurgie viscérale, Hôpital national, B.P 10529, Niamey, République du Niger. yacouba.harouna@laposte.net
Garba
M
M
Sabry
M
M
Gamatie
Y
Y
Abdou
I
I
D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009548:Niger; D007752:Obstetric Labor, Premature / Q000209:etiology; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*