Which patients should undergo a laparoscopy to confirm the diagnosis of appendicitis?

Updated: Jul 23, 2018
  • Author: Sandy Craig, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Diagnostic laparoscopy may be useful in selected cases (eg, infants, elderly patients, female patients) to confirm the diagnosis of appendicitis. This procedure has been suggested for pregnant patients in the first trimester with suspected appendicitis. If findings are positive, such procedures should be followed by definitive surgical treatment at the time of laparoscopy. Although negative appendectomy does not appear to adversely affect maternal or fetal health, diagnostic delay with perforation does increase fetal and maternal morbidity. Therefore, aggressive evaluation of the appendix is warranted in this group.


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