CASE 548: APPENDICITIS in PREGNANCY, Dr PHAN THANH HAI, Dr DANG VINH PHUC, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

WOMAN 37YO IN GESTATION 16 WKS,  10 DAYS AGO PAIN IN RLAQ.

ULTRASOUND   

US1  PREGNANCY 16WKS  

US2  CROSSED SECTION AT RLAQ  SUSPECTED  APPENDICE RETROCOLON ASCENDING.

US3  LONGITUDINAL SCAN   APPENDICE  EDEMA.

BLOOD TESTS:  WBC  9,2K WITH 75% neutro. CRP  110ng/mL.

MRI  IS DONE.   

MRI1  CROSSED SECTION.

MRI2  CROSSED SECTION AT COLON ASCENDING.

MRI3  SAGITTAL VIEW.

 MRI4  FRONTAL VIEW.

RADIOLOGIST SAYS RETROCOLON APPENDICULAR ABSCESS.

EMERGENCY OPERATION   

OP1,2.

CONCLUSION=   IN PREGNANCY   US AND MRI  CAN DO DIAGNOSTIC  for RETROCECAL APPENDICITIS.

REFERENCE: AJOG DEC 2006, APPENDIITIS IN PREGNANT PATIENTS:  DIAGNOSTIC EFFICACY OF ULTRASOUND vs MRI.