International Surgery Journal Lew D et al. Int Surg J. 2021 May;8(5):1575-1578 http://www.ijsurgery.com pISSN 2349-3305 | eISSN 2349-2902 DOI: https://dx.doi.org/10.18203/2349-2902.isj20211831 Case Report Acute gangrenous appendicitis and acute gangrenous cholecystitis in a pregnant patient, a difficult diagnosis: a case report David Lew, Jane Tian*, Martine A. Louis, Darshak Shah Department of Surgery, Flushing Hospital Medical Center, Flushing, New York, USA Received: 26 February 2021 Accepted: 02 April 2021 *Correspondence: Dr. Jane Tian, E-mail:
[email protected] Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Abdominal pain is a common complaint in pregnancy, especially given the physiological and anatomical changes that occur as the pregnancy progresses. The diagnosis and treatment of common surgical pathologies can therefore be difficult and limited by the special considerations for the fetus. While uncommon in the general population, concurrent or subsequent disease processes should be considered in the pregnant patient. We present the case of a 36 year old, 13 weeks pregnant female who presented with both acute appendicitis and acute cholecystitis. Keywords: Appendicitis, Cholecystitis, Pregnancy, Pregnant INTRODUCTION population is rare.5 Here we report a case of concurrent appendicitis and cholecystitis in a pregnant woman. General surgeons are often called to evaluate patients with abdominal pain. The differential diagnosis list must CASE REPORT be expanded in pregnant woman and the approach to diagnosing and treating certain diseases must also be A 36 year old, 13 weeks pregnant female (G2P1001) adjusted to prevent harm to the fetus.