Pregnancy change the position of the appendix

During pregnancy, the uterus increases the cecum to outside and make up, backward shift, the appendix relative position is deep, and will the parietal peritoneum open, make the appendix inflammation limitation and not easily to perforation, peritonitis. Pregnancy in late March 2 iliac crest refers to the end of may, pregnancy of iliac crest level, pregnancy late August rose to iliac crest on 2 horizontal refers to pregnancy can reach the gallbladder, term area. Postpartum 10 to 12 return to a nonpregnant level.
Second, clinical manifestation and diagnosis
1. In early pregnancy symptoms, physical signs: acute appendicitis with the pregnancy acute appendicitis basic same when.
2. Late in pregnancy, acute appendicitis: with the pregnancy performance is different. For enlarged uterus cause the appendix shift, tenderness point rise; Because the appendix is located in peritoneal depths, be enlarged uterus cover, make the signs not typical limitations peritonitis. The appendix is located in the uterus, pain may be behind in the right the waist. White blood cells to help diagnosis is not big, but > 15 x 109 / L diagnostic significance when. Also have increased the white blood cells is not obvious.
Three, differential diagnosis
1. In early pregnancy: must be the right ovarian cyst on the right's turn, broken non-reptured tubal preghancy identification.
2. Gestation: should with ovarian cyst on the right, the right's turn of the renal pelvis water, the right of acute pyelonephritis, the right of ureteral calculi, acute cholecystitis identification.
3. The late pregnancy and childbirth aura:, abruption, pregnancy acute fatty liver, uterine fibroids red become identification.
4. During delivery and uterine rupture identify. :
5. And ChanRu infection in puerperium: identify.
Four, treatment
1. The treatment principles: confirmed in application, large dose broad-spectrum antibiotics were at the same time, surgical treatment immediately, especially middle-late pregnancy. Because once concurrent perforation and diffuse peritonitis, all can cause of maternal and infant serious consequences.
2. The following conditions can first cesarean section
(1) exposed in the appendix difficult operation.
(2) perforation diffuse sexual peritonitis, pelvic infection with serious, the womb and the placenta for signs of infection.
(3) close to the due date or fetus mature, has the basic survival ability concrete.
1, genetic factors
According to statistics, cause ovarian cyst factors 20-25% of ovarian tumor patients and family history.
2, endocrine factors
Ovarian are small, but produce eggs and ovulation, endocrine hormone balance, the endocrine important organ, ovarian tumor occurs more often in endocrine vigorous child-bearing age. So think about and endocrine disturbance.
3, environment and lifestyle factors
Cause ovarian cyst of factors include the pollution of food, such as vegetables, the use of plant growth hormone, such as livestock and poultry raising of pure class formula of lean lean hormone ingredients. The study also found that, the European and American countries ovarian tumor the high incidence of may and food high in cholesterol in a relationship.