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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
MISDIAGNOSED ANTE-PARTUM APPENDICITIS DISCOVERED AT LAPAROTOMY FOR PERITONITIS: A CASE REPORT AND LITERATURE REVIEW IN YAOUNDE, CAMEROON.
Author
Philip Njotang Nana , Jovanny Tsuala Fouogue*, Florent Ymele Fouelifack, Jeanne Hortence Fouedjio, Felix Essiben , Filbert Eko Eko , Robinson Enow Mbu
Email
fotsujo@outlook.com
keyword
Appendicitis, Pregnancy, Peritonitis, Postpartum, Yaounde Cameroon.
Abstract
The prevalence of appendicitis in pregnancy is 0.1% – 0.2%. It has not been widely studied in Cameroon. Signs and symptoms of appendicitis are modified during pregnancy and this makes the diagnosis difficult. We herein report the case of a 35 year old Gravida 3 Para 2.1.0.3 who presented with acute appendicitis in a context of biologically confirmed malaria with threatened premature labour at 36 weeks of pregnancy. Appendicitis was not recognised, so she was treated for malaria and gave birth prematurely. Emergency laparotomy indicated for peritonitis was done on day 2 postpartum and appendicitis was found. Postoperative course was uneventful and the patient was discharged 9 days later. Pathophysiology, clinical presentation and management of appendicitis in pregnancy are herein discussed.
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