Acute appendicitis in a woman with eclampsia complicated by a stroke at 28 weeks gestation : a case report

Abstract EN

Eclampsia is defined as the occurrence of one or more convulsions superimposed on pre-eclampsia.

Pre-eclampsia is pregnancy-induced hypertension in association with proteinuria > 0.3g in 24 hours and virtually any organ system may be affected.

In eclampsia, the case fatality rate has been reported as 1.8 % and a further 35 % of women experience a major complication.

Acute appendicitis in pregnancy is not frequently encountered (0.05-0.13 % pregnancies).

This condition is associated with delayed diagnosis and management.

We report a 20-year-old Afghani primigravida, who presented at 28 weeks with multiple eclamptic fits at home and fever.

Caesarean section was performed.

The baby was stillborn with features of intra-uterine growth restriction.

Her appendix was acutely inflamed and appendectomy was done.

She sustained a minor stroke but recovered completely.