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CC BY-NC-ND 4.0 · AJP Rep 2020; 10(02): e129-e132
DOI: 10.1055/s-0040-1708849
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Peritoneovaginal Fistula and Appendicitis-Related Pelvic Abscess in Pregnancy

Mona Saleh
1   Department of Obstetrics and Gynecology, NYU Langone Health, New York, New York
,
Antonia Francis Kim
2   Department of Obstetrics and Gynecology, Hackensack University Medical Center, Hackensack, New Jersey
,
Andrew Gardner
1   Department of Obstetrics and Gynecology, NYU Langone Health, New York, New York
,
Katherine Sun
3   Department of Pathology, NYU Langone Health, New York, New York
,
Sara Brubaker
1   Department of Obstetrics and Gynecology, NYU Langone Health, New York, New York
› Author Affiliations
Further Information

Publication History

21 November 2019

05 December 2019

Publication Date:
15 April 2020 (online)

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Abstract

Appendicitis in pregnancy is the most common nonobstetric surgical emergency. Pregnancy causes changes in anatomy, which could lead to uncertainty regarding the diagnosis of appendicitis. This case report describes a case of appendicitis presenting with peritoneovaginal fistula in a pregnant woman in the second trimester, with interesting finding of isolated appendiceal endometriosis on pathology. The importance of complete physical examination, including speculum examination, is emphasized in the pregnant patient presenting with acute-onset abdominal pain. Imaging criteria for diagnosis of appendicitis should be adjusted to account for the gravid uterus, which may cause appendiceal abscess to appear in a variety of locations, such as posterior to the cervix, as in this case.

Keywords

peritoneovaginal fistula - acute appendicitis during pregnancy - appendiceal endometriosis - appendiceal abscess
 

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