Document Detail


Location of the appendix in the gravid patient: a re-evaluation of the established concept.
MedLine Citation:
PMID:  12767564     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the anatomical location of the appendix, as it may change during pregnancy. METHODS: In this prospective study conducted from October 1995 to March 1999, 291 women of reproductive age were evaluated for appendix location. They were divided into three groups: group A, 165 women between 37 and 40 weeks of pregnancy who underwent elective cesarean delivery; group B, 26 women between 19 and 39 weeks of gestation with acute appendicitis who underwent appendectomy; and group C (the control group), 100 non-pregnant women with acute appendicitis who underwent appendectomy. Appendix location was considered normal within 2 cm of the McBurney point; otherwise, it was considered to be a position change. RESULTS: In group A, 2 (15%) of 165 women and in group B, 6 (23%) of 26 women had a change in the position of the appendix. In the control group, 17% had change in position. There were no significant differences between group A and B compared with group C. In group B, no relation between height of fundus and point of tenderness was seen. CONCLUSION: Our study did not show that pregnancy changes the location of the appendix.
Authors:
H Hodjati; T Kazerooni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  81     ISSN:  0020-7292     ISO Abbreviation:  Int J Gynaecol Obstet     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-05-27     Completed Date:  2003-12-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  245-7     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Shiraz University of Medical Sciences, Shiraz, Iran. hodjatih@sums.ac.ir
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Appendectomy
Appendicitis / pathology*,  surgery
Appendix / pathology*,  surgery
Cesarean Section
Concept Formation*
Female
Humans
Middle Aged
Pregnancy
Pregnancy Complications / pathology*,  surgery
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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