title: [Acute appendicitis during pregnancy: report of 4 cases].
abstract: BACKGROUND
  Acute appendicitis is the more frequent no obstetric surgical emergency during pregnancy with an incidence of 1 in 1500 pregnancies. The clinical diagnosis is difficult because of the physiological changes of pregnancy itself. If not treated early increases the risk of maternal and fetal morbidity.
  
  
  OBJECTIVE
  To describe the diagnosis and treatment of four cases of acute appendicitis during pregnancy.
  
  
  METHODS
  Four cases of acute appendicitis during pregnancy diagnosed in the period of a month. Gestational age at diagnosis of appendicitis was between 8 and 13 week. All patients underwent laparotomy; three cases were appendicitis phase II and one phase III. The preoperative was managed with indomethacin and ceftriaxone. There were no maternal or obstetric complications.
  
  
  CONCLUSIONS
  An early diagnosis and treatment of acute appendicitis during pregnancy, and a multidisciplinary approach between surgeon, obstetrician and anesthesiologist is the basis for success in the management of these patients.
authors.forename: Martín Adrián
authors.initials: MA
authors.lastname: Bolívar-Rodríguez
authors.forename: Marcel Antonio
authors.initials: MA
authors.lastname: Cazarez-Aguilar
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Fierro-López
authors.forename: Rosa Estela
authors.initials: RE
authors.lastname: Romero-Aguilar
authors.forename: Hernán
authors.initials: H
authors.lastname: Lizárraga-González
authors.forename: Fred
authors.initials: F
authors.lastname: Morgan-Ortiz
mesh_terms: D000293:Adolescent; D001064:Appendicitis / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000628:therapy; D055815:Young Adult