Adel Alhaj Saleh, MD, MRCS, Mohanad Elshiekh, MD, Amir H Aryaie, MD, FACS. Texas Tech University Health Sciences Center
24 years old female G8P7 on 35th week of pregnancy presented to UMC for evaluation of right side abdominal pain and nausea for 1 day .
Surgery been consulted for evaluation of acute appendicitis.
Ultrasound findings were inconclusive
Vitals : Afebrile , HR 90s BP 130/76
O/E : Alert and oriented , non toxic
Abdomen distended , Gravid uterus at the Xiphoid process . RLQ tenderness and rebound tenderness
Fetal cardiac activity checked before surgery was reassuring ,Baseline 160 , good reactivity with no deceleration
MRI revealed early acute appendicitis
Patient underwent successful laparoscopic appendectomy .
Fetal cardiac activity was checked in the OR right after finishing the procedure . HR 140-160 , no decelerations .
Post operative course was complicated with abdominal pain .
Patient discharged home on POD # 6 , seen in clinic in 1 week , doing well .
Patient underwent SNVD at 38w6d .
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95390
Program Number: V163
Presentation Session: Video Loop Day 1
Presentation Type: VideoLoop