Informative content of clinical symptoms of acute appendicitis in different terms of pregnancy.

Authors

  • A. B. Kutovoy
  • I. I. Petrashenkо

DOI:

https://doi.org/10.26641/2307-0404.2015.3.53690

Keywords:

clinical symptoms, acute appendicitis, pregnancy

Abstract

With the purpose to evaluate diagnostic efficacy of some clinical symptoms of acute appendicitis 75 women in different terms of pregnancy were examined. Informative content of such symptoms as Kocher- Volkovich, Rovsing, Bartomje - Michelson, Sitkovsky, Gabay, Brendo, Michelson, Ivanov was studied. Pain syndrome was fixed in all examined women. Pain localization was various and depended on the pregnancy term. During the I trimester of pregnancy the most often pain was manifestated in epigastrium and right lower quadrant, rarely in other abdomen regions. In the II trimester in majority of cases pain occurred in right lower quadrant. During III trimester pain prevailed in right upper quadrant of abdomen. Analyzing informative component of researching symptoms there was noted significant decrease (р<0,05; р<0,01; р<0,001) of their diagnostic value with growth of pregnancy term. Therefore Kocher – Volkovich and Rovsing symptoms were the most informative in the I trimester of pregnancy. Diagnostic efficacy of Brendo(67,3%), Michelson(55,7%),  Ivanov(59,6%) symptoms was higher than that of Kocher – Volkovich (36,5%),  Rovsing (28,8%), Sitkovsky (51,9%), Bartomje – Michelson (55,7%) symptoms, their value was diminishing together with increase of pregnancy terms.

Author Biographies

A. B. Kutovoy

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Surgery N 2 department
Dzerzhinsky str., 9, Dnipropetrovsk, 49044, Ukraine

I. I. Petrashenkо

SE «Dnipropetrovsk medical academy of Health Ministry of Ukraine»
Surgery N 2 department
Dzerzhinsky str., 9, Dnipropetrovsk, 49044, Ukraine

References

Zhilina NM. [Applications of data of processing methods in medical research: methodological recom-mendations]. Novokuznetsk: GOU DPO «NGIUV» Roszdrava, 2007;44. Russian. 2. Khatsko VV, Gredjev FA, Parkhomenko AV. [Acu¬te appendicitis in pregnant women (scientific re-view)]. Ukrainsky journal hirurgii.2014;1:154-157. Rus-sian. 3. Shapkin YuG, Livadnyy GV, Marshalov DV. [Mo¬dern technology in the diagnosis of acute appendicitis in pregnancy]. Byulleten' meditsinskikh internet-kon-ferentsiy.2011;1(2):29-37. Russian. 4. Fedorov IV [Laparoscopic surgery and its out-comes during pregnancy]. Endoskopicheskaya hirurgiya. 2010;16;5:59-62. Russian. 5. Hasanov AG [Clinical morphological features of acute appendicitis at pregnant] .Меdicinsky vestnik Bash¬kortostana.2014;9(5):55-58. Russian. 6. Shaimardanov RS, Gumarov [Acute appendicitis at pregnant]. Prakticheskaya medicina. 2011;6:53-57. Russian. 7. Al-Mulhim AS. Appendectomy during pregnancy in sickle cell disease pationts. Saudi / J. Gastroenterol. 2008;14(3):114-7. 8. Ito K, Ito H, Wrang EE. Appendectomy in preg-nancy: evaluation of risk of negative appendectomy.Am. J. Surg. 2012;203(2):145-50. 9. Korndorffer JRJr, Fellinger E, Reed W. SAGES guideline for laparoscopic appendectomy. Surg. Endosc. 2010;24:757-61. 10. Niemann U, Tabatabai K, Jordan U, Imdahl A. Differential diagnosis of right abdominal pain. MMW Fortschr Med. 2009;151(10):38-41.

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Published

2015-09-23

How to Cite

1.
Kutovoy AB, Petrashenkо II. Informative content of clinical symptoms of acute appendicitis in different terms of pregnancy. Med. perspekt. [Internet]. 2015Sep.23 [cited 2024Mar.28];20(3):80-4. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/53690

Issue

Section

CLINICAL MEDICINE