Academia Open
Vol. 11 No. 1 (2026): June

Active Therapeutic and Diagnostic Management of Acute Appendicitis in a Pregnant Woman During the First Trimester

M.Yu. Akramova (Tashkent State Medical University)
A.Sh. Abdumajidov (Tashkent State Medical University)
K.F. Zuparov (Tashkent State Medical University)
O.O. Alimxanov (Tashkent State Medical University)
Z.A. Aslonov (Tashkent State Medical University)



Article Info

Publish Date
11 Mar 2026

Abstract

General Background: Acute appendicitis is a frequent cause of abdominal pain in women of reproductive age and presents diagnostic and therapeutic challenges during pregnancy due to anatomical and physiological changes. Specific Background: In the first trimester, symptoms may appear typical, yet clinical evaluation remains complex, requiring careful diagnostic and surgical decision-making to ensure maternal and fetal safety. Knowledge Gap: Despite established surgical approaches, the optimal management strategy for appendicitis in early pregnancy, particularly regarding minimally invasive techniques and multidisciplinary care, remains insufficiently detailed in clinical case-based evidence. Aims: This study aims to present a clinical case and evaluate diagnostic and therapeutic management of acute appendicitis in a pregnant woman during the first trimester. Results: A 28-year-old patient at 12 weeks of gestation underwent successful laparoscopic appendectomy following clinical, laboratory, and ultrasound diagnosis, with uneventful postoperative recovery and preserved pregnancy confirmed by follow-up. Novelty: The study highlights the integration of laparoscopic surgery with obstetric collaboration and tailored postoperative care in early pregnancy. Implications: Early diagnosis, interdisciplinary management, and minimally invasive intervention contribute to favorable maternal and fetal outcomes while preventing severe complications such as perforation and peritonitis. Highlights:• Early Surgical Intervention Prevented Progression to Severe Abdominal Complications• Multidisciplinary Coordination Ensured Safe Perioperative Management for Mother and Fetus• Minimally Invasive Approach Supported Rapid Recovery and Stable Gestational Continuation Keywords: Acute Appendicitis, Pregnancy, Laparoscopic Appendectomy, First Trimester, Surgical Management.

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Journal Info

Abbrev

acopen

Publisher

Subject

Medicine & Pharmacology Public Health

Description

Academia Open is published by Universitas Muhammadiyah Sidoarjo published 2 (two) issues per year (June and December). This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge. This ...