[Skip to Content]
[Skip to Content Landing]
Article
April 16, 1932

APPENDICITIS IN PREGNANCY: WITH CHANGES IN POSITION AND AXIS OF THE NORMAL APPENDIX IN PREGNANCY

Author Affiliations

CHICAGO

From the Departments of Obstetrics and Roentgenology of the Michael Reese Hospital.

JAMA. 1932;98(16):1359-1364. doi:10.1001/jama.1932.02730420017007
Abstract

Appendicitis, occurring as a complication of pregnancy, is of serious import to both the maternal and the fetal organism. The pregnant woman is subjected, in addition to the usual complications and sequelae of appendicitis, to further risks produced by the growing uterus. The fetus is endangered, in the presence of acute appendicitis, by a marked increase in the frequency of abortion and premature labor.

Fink1 found no upward displacement of appendix and cecum by fluoroscopic studies; Pankow2 found only slight upward displacement of the appendix; Hoffmann3 found the appendix below the iliac crest in thirty-two of the thirty-seven patients examined roentgenologically and concludes that upward displacement is rarely marked.

On the other hand, Füth and Obladen4 found the appendix above the iliac crest in nineteen of the twenty patients examined after the seventh month of pregnancy. Schumacher5 confirmed these results. He reports upward displacement of

×