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The American College of Radiology. ACR Appropriateness Criteria: Right lower quadrant pain—suspected appendicitis. AHRQ National Guidelines Clearinghouse. file://guidelines.gov/content.aspx?id=23816. (Accessed on May 23, 2012). Ames Castro M, Shipp TD, Castro EE, et al. The use of helical computed tomography in pregnancy for the diagnosis of acute appendicitis. Am J Obstet Gynecol 2001; 184:954. Hurwitz LM, Yoshizumi T, Reiman RE, et al. Radiation dose to the fetus from body MDCT during early gestation. AJR Am J Roentgenol 2006; 186:871. Wagner LK, Huda W. When a pregnant woman with suspected appendicitis is referred for a CT scan, what should a radiologist do to minimize potential radiation risks? Pediatr Radiol 2004; 34:589. Damilakis J, Perisinakis K, Voloudaki A, Gourtsoyiannis N. Estimation of fetal radiation dose from computed tomography scanning in late pregnancy: depth-dose data from routine examinations. Invest Radiol 2000; 35:527. Terasawa T, Blackmore CC, Bent S, Kohlwes RJ. Systematic review: computed tomography and ultrasonography to detect acute appendicitis in adults and adolescents. Ann Intern Med 2004; 141:537. Basaran A, Basaran M. Diagnosis of acute appendicitis during pregnancy: a systematic review. Obstet Gynecol Surv 2009; 64:481. Young BC, Hamar BD, Levine D, Roqué H. Medical management of ruptured appendicitis in pregnancy. Obstet Gynecol 2009; 114:453. Silvestri MT, Pettker CM, Brousseau EC, et al. Morbidity of appendectomy and cholecystectomy in pregnant and nonpregnant women. Obstet Gynecol 2011; 118:1261. Babaknia A, Parsa H, Woodruff JD. Appendicitis during pregnancy. Obstet Gynecol 1977; 50:40. McGory ML, Zingmond DS, Tillou A, et al. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg 2007; 205:534. Ito K, Ito H, Whang EE, Tavakkolizadeh A. Appendectomy in pregnancy: evaluation of the risks of a negative appendectomy. Am J Surg 2012; 203:145. Vasireddy A, Atkinson S, Shennan A, Bewley S. Management of appendicitis. Surgical management remains best option during pregnancy. BMJ 2012; 344:29. Curet MJ, Allen D, Josloff RK, et al. Laparoscopy during pregnancy. Arch Surg 1996; 131:546. Gurbuz AT, Peetz ME. The acute abdomen in the pregnant patient. Is there a role for laparoscopy? Surg Endosc 1997; 11:98.

Vasireddy A, Atkinson S, Shennan A, Bewley S. Management of appendicitis. Surgical management remains best option during pregnancy. BMJ 2012; 344:29. Curet MJ, Allen D, Josloff RK, et al. Laparoscopy during pregnancy. Arch Surg 1996; 131:546. Gurbuz AT, Peetz ME. The acute abdomen in the pregnant patient. Is there a role for laparoscopy? Surg Endosc 1997; 11:98. Affleck DG, Handrahan DL, Egger MJ, Price RR. The laparoscopic management of appendicitis and cholelithiasis during pregnancy. Am J Surg 1999; 178:523. Wu JM, Chen KH, Lin HF, et al. Laparoscopic appendectomy in pregnancy. J Laparoendosc Adv Surg Tech A 2005; 15:447. Donkervoort SC, Boerma D. Suspicion of acute appendicitis in the third trimester of pregnancy: pros and cons of a laparoscopic procedure. JSLS 2011; 15:379. Holzer T, Pellegrinelli G, Morel P, Toso C. Appendectomy during the third trimester of pregnancy in a 27-year old patient: case report of a "near miss" complication. Patient Saf Surg 2011; 5:11. Machado NO, Grant CS. Laparoscopic appendicectomy in all trimesters of pregnancy. JSLS 2009; 13:384. Lemieux P, Rheaume P, Levesque I, et al. Laparoscopic appendectomy in pregnant patients: a review of 45 cases. Surg Endosc 2009; 23:1701. Sadot E, Telem DA, Arora M, et al. Laparoscopy: a safe approach to appendicitis during pregnancy. Surg Endosc 2010; 24:383. Hannan MJ, Hoque MM, Begum LN. Laparoscopic appendectomy in pregnant women: experience in Chittagong, Bangladesh. World J Surg 2012; 36:767. Kirshtein B, Perry ZH, Avinoach E, et al. Safety of laparoscopic appendectomy during pregnancy. World J Surg 2009; 33:475. Jeong JS, Ryu DH, Yun HY, et al. Laparoscopic appendectomy is a safe and beneficial procedure in pregnant women. Surg Laparosc Endosc Percutan Tech 2011; 21:24. Walsh CA, Tang T, Walsh SR. Laparoscopic versus open appendicectomy in pregnancy: a systematic review. Int J Surg 2008; 6:339. Al-Fozan H, Tulandi T. Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol 2002; 14:375. Viktrup L, Hée P. Fertility and long-term complications four to nine years after appendectomy during pregnancy. Acta Obstet Gynecol Scand 1998; 77:746. Choi JJ, Mustafa R, Lynn ET, Divino CM. Appendectomy during pregnancy: follow-up of progeny. J Am Coll Surg 2011; 213:627. Topic 4804 Version 13.0

Al-Fozan H, Tulandi T. Safety and risks of laparoscopy in pregnancy. Curr Opin Obstet Gynecol 2002; 14:375. Viktrup L, Hée P. Fertility and long-term complications four to nine years after appendectomy during pregnancy. Acta Obstet Gynecol Scand 1998; 77:746. Choi JJ, Mustafa R, Lynn ET, Divino CM. Appendectomy during pregnancy: follow-up of progeny. J Am Coll Surg 2011; 213:627. Topic 4804 Version 13.0 © 2013 UpToDate, Inc. All rights reserved. | Subscription and License Agreement | Release: 21.4 - C21.36 Licensed to: Southeast Alabama Med Ctr | Support Tag: [0602-61.234.146.186-B3B70EFBF6-S244013.14]