RETROCECAL APPENDICITIS AFTER ELECTIVE CAESAREAN SECTION

Sotir Ropi; Ana Vangelov; Filip Trajkovski; Hristijan Trpchevski; Stefan Matik; Gordana Ristevska; Maja Belevska

Sotir Ropi Private hospital "Plodnost" Bitola, North Macedonia. Women`s hospital for obstetrics & gynecology. IVF & infertility center for assisted human reproduction; Higher Medical School, University St. Kliment Ohridski Bitola
Ana Vangelov Private hospital Plodnost Bitola, North Macedonia
Filip Trajkovski Private hospital Plodnost Bitola, North Macedonia
Hristijan Trpchevski Private hospital Plodnost Bitola, North Macedonia
Stefan Matik Private hospital Plodnost Bitola, North Macedonia
Gordana Ristevska Higher Medical School, University St. Kliment Ohridski Bitola, North Macedonia
Maja Belevska Higher Medical School, University St. Kliment Ohridski Bitola, North Macedonia

Abstract

Ruptured retrocecal appendicitis can occur after cesarean section, leading to significant maternal morbidity. The optimal management for postpartal women in this situation remains unclear. Case Presentation: A 29-year-old nulliparous woman at 39 weeks gestation underwent an elective cesarean section. Postoperatively, she developed fever and abdominal pain. Despite initial conservative management, her condition worsened, leading to a diagnosis of ruptured retrocecal appendicitis. Discussion: This case highlights the challenges of diagnosing appendicitis in the postpartum period. While surgical intervention is almost always necessary, the timing and extent of surgery can be influenced by various factors, including the stage of postpartum period and the severity of the appendicitis. Further research is needed to establish evidence-based guidelines for managing this condition in postpartum women.

Keywords: retrocecal appendicitis, cesarean section, postpartum, maternal morbidity.

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