Appendicitis in Pregnancy: Causes, Diagnosis, Imaging, and Management
Introduction Appendicitis remains the most common non-obstetric surgical emergency during pregnancy. Diagnosing and managing this condition requires a delicate balance between maternal health and fetal safety. In this expert column, we will explore the cause, etiology, pathophysiology, epidemiology, clinical presentation, imaging features, treatment, and prognosis of appendicitis in pregnancy . Figures referenced from MRI imaging (see Figures 1–2) will help illustrate the discussion. Finally, we will test your knowledge with quiz questions. Etiology and Cause of Appendicitis in Pregnancy Appendicitis is caused by obstruction of the appendiceal lumen , most often due to: Fecaliths (appendicoliths) – calcified deposits that block the lumen. Lymphoid hyperplasia – commonly associated with viral or bacterial infections. Foreign bodies or parasites – rare, but possible triggers. Neoplasms – uncommon, but can also cause obstruction. In pregnancy, the etiology doe...