Acute appendicitis complicating pregnancy in the Oxford region

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Abstract
A study of 75 patients who were admitted to the Oxford group of hospitals with suspected acute appendicitis during pregnancy is presented, and the findings are compared with those in a similar group of non-pregnant patients. In general the disease was found at operation to be more advanced in the pregnant group, and this was probably a reflection of a delay in diagnosis. This delay, which was seen most commonly in the third trimester, led to a number of fetal deaths which might have been avoided by earlier operation. Furthermore, the dangers resulting from a negative laparotomy were sufficiently minor for a policy of early surgery for suspected acute appendicitis to be advocated during all stages of pregnancy.

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