Optimization of Diagnosis of Acute Appendicitis in Pregnant Women

Abstract

One of the most common diseases of abdominal surgery is acute appendicitis (AA). The urgency of the problem of early diagnosis of AA is justified by the fact that this pathology may occur during pregnancy, parturition, and the postpartum period, hiding acute surgical pathology under the mask of gynecological diseases. The review presents the main diagnostic techniques used by doctors of various specialties, since the diagnosis of AA in pregnant women presents significant difficulties and also analyzes the existing methods for diagnosing acute appendicitis for timely surgical treatment and preservation of pregnancy. Thus, despite a significant number of ways and methods, the diagnosis of appendicitis in pregnant women presents with different kind of challenges, especially with an increase in the duration of pregnancy. In timely combined diagnosis including various ways and methods which can prevent the development of severe complications, without harming the fetus, especially in the third trimester, the method of gradual compression is recommended, which consists the gradual compression of the muscles of the anterior abdominal wall on the right side. Overall, MRI technique is having the least side effects with best diagnostics results following with properly assessment of clinical and laboratorial findings.