pregnancy. Unlike omentom, cecum and Appendix are not likely to
Background: Early diagnosis of appendicitis is important during
be displaced by the growing uterus, so the concept of position
change of the Appendix during pregnancy is questionable.
Objective: To determine the anatomical location of Appendix during
pregnancy.
Methods: In a prospective study from October 1995 to March 1999,
291 women of reproductive age were evaluated for the location of
Appendix. They were divided into 3 groups, A: 165 pregnant women
(37-40 weeks of gestation) who underwent elective cesarean section,
B: 26 pregnant women (19-39 weeks of gestation) with acute appendicitis,
who underwent appendectomy, and C: 100 non-pregnant
women with acute appendicitis who underwent appendectomy serving
as the comparison group. The location of Appendix was considered
as normal if it fell within ± 2 cm variation from McBurney’s
point, otherwise, it was considered as a position change.
Results: In group A, 26 out of 165 (15%) and in group B, 6 out of
26 (23%) women had change in the position of Appendix. In the
control group, 17% had change in position. There were no significant
differences between group A and B as compared with the control
group (group C). In group B, there was no relation between the
height of the fundus and the point of tenderness.
Conclusion: The location of Appendix does not change significantly
during the pregnancy in most women.