{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T00:22:10Z","timestamp":1792196530324,"version":"4.4.0"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","ejog.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.ejogrb.2026.115106","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T15:19:06Z","timestamp":1775575146000},"page":"115106","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["The role of ultrasound in decision-making for the management of suspected acute appendicitis during pregnancy"],"prefix":"10.1016","volume":"322","author":[{"given":"Sabina","family":"Razdolsky","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadav","family":"Michaan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Attali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Canetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yariv","family":"Yogev","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoav","family":"Baruch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.ejogrb.2026.115106_b0005","doi-asserted-by":"crossref","first-page":"119","DOI":"10.2147\/IJWH.S151501","article-title":"Management of acute abdomen in pregnancy: current perspectives","volume":"11","author":"Zachariah","year":"2019","journal-title":"Int J Womens Health"},{"key":"10.1016\/j.ejogrb.2026.115106_b0010","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjsurg.2024.116120","article-title":"The risk of preterm delivery after appendectomy during pregnancy is higher in the face of a negative appendectomy","volume":"240","author":"Baruch","year":"2025","journal-title":"Am J Surg"},{"issue":"2","key":"10.1016\/j.ejogrb.2026.115106_b0015","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.amjsurg.2011.02.010","article-title":"Appendectomy in pregnancy: evaluation of the risks of a negative appendectomy","volume":"203","author":"Ito","year":"2012","journal-title":"Am J Surg"},{"issue":"4","key":"10.1016\/j.ejogrb.2026.115106_b0020","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1016\/j.jamcollsurg.2007.05.025","article-title":"Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss","volume":"205","author":"McGory","year":"2007","journal-title":"J Am Coll Surg"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115106_b0025","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1111\/ajo.12807","article-title":"Appendicectomy during pregnancy and the risk of preterm birth: a population data linkage study","volume":"59","author":"Ibiebele","year":"2019","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"10","key":"10.1016\/j.ejogrb.2026.115106_b0030","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1177\/000313481708301018","article-title":"Management and Outcomes of Appendectomy during Pregnancy","volume":"83","author":"Won","year":"2017","journal-title":"Am Surg"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115106_b0035","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1007\/s00268-019-05200-x","article-title":"Appendectomy in Third Trimester of Pregnancy and Birth Outcomes: a Propensity score Analysis of a 6-Year Cohort Study using Administrative Claims Data","volume":"44","author":"Buitrago","year":"2020","journal-title":"World J Surg"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115106_b0040","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1007\/s00464-021-08315-2","article-title":"Laparoscopic negative appendectomy during pregnancy is associated with adverse neonatal outcome","volume":"36","author":"Rottenstreich","year":"2022","journal-title":"Surg Endosc"},{"key":"10.1016\/j.ejogrb.2026.115106_b0045","doi-asserted-by":"crossref","unstructured":"Lindqvist PG, Pettersson H, Dahlberg M, Sandblom G, Bostr\u00f6m L. Appendectomy during pregnancy: rates, safety, and outcomes over a five-year period. A hospital-based follow-up study. J Matern Fetal Neonatal Med. 2023 Dec;36(1):216062doi:10.1080\/14767058.2022.2160629 PubMed PMID: 36617668.","DOI":"10.1080\/14767058.2022.2160629"},{"issue":"3","key":"10.1016\/j.ejogrb.2026.115106_b0050","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1007\/s10140-022-02021-9","article-title":"Diagnostic accuracy of ultrasound in diagnosing acute appendicitis in pregnancy: a systematic review and meta-analysis","volume":"29","author":"Moghadam","year":"2022","journal-title":"Emerg Radiol"},{"issue":"4","key":"10.1016\/j.ejogrb.2026.115106_b0055","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s10140-012-1029-0","article-title":"Utility of ultrasound for evaluating the appendix during the second and third trimester of pregnancy","volume":"19","author":"Lehnert","year":"2012","journal-title":"Emerg Radiol"},{"issue":"23","key":"10.1016\/j.ejogrb.2026.115106_b0060","doi-asserted-by":"crossref","first-page":"3929","DOI":"10.1080\/14767058.2019.1592154","article-title":"The diagnostic accuracy of ultrasound in the diagnosis of acute appendicitis in pregnancy","volume":"33","author":"Baruch","year":"2020","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"5","key":"10.1016\/j.ejogrb.2026.115106_b0065","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1016\/j.jemermed.2013.09.033","article-title":"Location of the appendix in the gravid patient","volume":"46","author":"House","year":"2014","journal-title":"J Emerg Med"},{"issue":"3","key":"10.1016\/j.ejogrb.2026.115106_b0070","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1590\/0100-3984.2019.0059","article-title":"Imaging evaluation of nonobstetric conditions during pregnancy: what every radiologist should know","volume":"53","author":"Rocha","year":"2020","journal-title":"Radiol Bras"},{"issue":"2","key":"10.1016\/j.ejogrb.2026.115106_b0075","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1007\/s10140-014-1260-y","article-title":"Evaluation of a sequential multi-modality imaging algorithm for the diagnosis of acute appendicitis in the pregnant female","volume":"22","author":"Ramalingam","year":"2015","journal-title":"Emerg Radiol"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115106_b0080","doi-asserted-by":"crossref","first-page":"49","DOI":"10.2214\/AJR.15.15948","article-title":"Contrast-Enhanced Abdominal MRI for Suspected Appendicitis: how we do it","volume":"207","author":"Kinner","year":"2016","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.ejogrb.2026.115106_b0085","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/s13017-019-0254-1","article-title":"Pregnancy and appendicitis: a systematic review and meta-analysis on the clinical use of MRI in diagnosis of appendicitis in pregnant women","volume":"14","author":"Kave","year":"2019","journal-title":"World J Emerg Surg"},{"issue":"8","key":"10.1016\/j.ejogrb.2026.115106_b0090","doi-asserted-by":"crossref","first-page":"3359","DOI":"10.1007\/s00261-015-0540-7","article-title":"MRI: first-line imaging modality for pregnant patients with suspected appendicitis","volume":"40","author":"Konrad","year":"2015","journal-title":"Abdom Imaging"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115106_b0095","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1148\/radiol.12121027","article-title":"Integrating MR imaging into the clinical workup of pregnant patients suspected of having appendicitis is associated with a lower negative laparotomy rate: single-institution study","volume":"267","author":"Rapp","year":"2013","journal-title":"Radiology"},{"issue":"5","key":"10.1016\/j.ejogrb.2026.115106_b0100","doi-asserted-by":"crossref","first-page":"e208","DOI":"10.1016\/j.amjmed.2019.06.043","article-title":"MRI is Mandatory for the Assignment into Antibiotic Treatment or Appendectomy Group of Patients during Pregnancy","volume":"133","author":"Augustin","year":"2020","journal-title":"Am J Med"},{"issue":"2","key":"10.1016\/j.ejogrb.2026.115106_b0105","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1097\/MS9.0000000000000238","article-title":"A systematic review and meta-regression for validation of the Alvarado score as a tool for predicting acute appendicitis","volume":"85","author":"Gupta","year":"2023","journal-title":"Annals of Medicine & Surgery"},{"issue":"6","key":"10.1016\/j.ejogrb.2026.115106_b0110","doi-asserted-by":"crossref","first-page":"1933","DOI":"10.1007\/s13304-022-01368-5","article-title":"A novel Appendicitis TriMOdal prediction score (ATMOS) for acute appendicitis in pregnancy: a retrospective observational study","volume":"74","author":"Augustin","year":"2022","journal-title":"Updates Surg"},{"issue":"5","key":"10.1016\/j.ejogrb.2026.115106_b0115","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1016\/j.amjsurg.2020.03.018","article-title":"Is neutrophilia the key to diagnosing appendicitis in pregnancy?","volume":"219","author":"Gentles","year":"2020","journal-title":"Am J Surg"},{"issue":"11","key":"10.1016\/j.ejogrb.2026.115106_b0120","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/j.kjms.2015.10.005","article-title":"Predictive role of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios for diagnosis of acute appendicitis during pregnancy","volume":"31","author":"Yazar","year":"2015","journal-title":"Kaohsiung J Med Sci"},{"issue":"1\u20132","key":"10.1016\/j.ejogrb.2026.115106_b0125","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1111\/ans.17443","article-title":"Significance of laboratory parameters in diagnosing acute appendicitis during pregnancy","volume":"92","author":"Peks\u00f6z","year":"2022","journal-title":"ANZ J Surg"},{"issue":"7","key":"10.1016\/j.ejogrb.2026.115106_b0130","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1590\/1806-9282.62.07.622","article-title":"The diagnosis of acute appendicitis in pregnant versus non-pregnant women: a comparative study","volume":"62","author":"Aras","year":"1992","journal-title":"Rev Assoc Med Bras"},{"key":"10.1016\/j.ejogrb.2026.115106_b0135","article-title":"Laparoscopic treatment for appendicitis during pregnancy: Retrospective cohort study","volume":"68","author":"Chwat","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"issue":"6","key":"10.1016\/j.ejogrb.2026.115106_b0140","doi-asserted-by":"crossref","first-page":"2947","DOI":"10.1007\/s00464-024-10810-1","article-title":"SAGES guidelines for the use of laparoscopy during pregnancy","volume":"38","author":"Kumar","year":"2024","journal-title":"Surg Endosc"},{"issue":"8","key":"10.1016\/j.ejogrb.2026.115106_b0145","doi-asserted-by":"crossref","first-page":"6025","DOI":"10.1007\/s00464-023-10075-0","article-title":"Open versus laparoscopic appendectomy for acute appendicitis in pregnancy: a population-based study","volume":"37","author":"Lipping","year":"2023","journal-title":"Surg Endosc"},{"issue":"5","key":"10.1016\/j.ejogrb.2026.115106_b0150","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1503\/cjs.022112","article-title":"Clinical outcomes compared between laparoscopic and open appendectomy in pregnant women","volume":"56","author":"Chung","year":"2013","journal-title":"Can J Surg"},{"issue":"4","key":"10.1016\/j.ejogrb.2026.115106_b0155","doi-asserted-by":"crossref","first-page":"365","DOI":"10.3109\/14767058.2013.818131","article-title":"Appendectomy during pregnancy\u2013is pregnancy outcome depending by operation technique?","volume":"27","author":"Peled","year":"2014","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"1","key":"10.1016\/j.ejogrb.2026.115106_b0160","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1186\/s12893-019-0505-9","article-title":"Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: a systematic review and updated meta-analysis","volume":"19","author":"Lee","year":"2019","journal-title":"BMC Surg"},{"key":"10.1016\/j.ejogrb.2026.115106_b0165","unstructured":"Rountis A, Dimitroulis D, Nikiteas N. Laparoscopic appendectomy vs open appendectomy during pregnancy: a systematic re-view. Hippokratia. 2022;26(1):1\u20136. PubMed PMID: 37124278; PubMed Central PMCID: PMC10132395."},{"issue":"5","key":"10.1016\/j.ejogrb.2026.115106_b0170","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1111\/ans.13750","article-title":"Laparoscopic or open appendicectomy for suspected appendicitis in pregnancy and evaluation of foetal outcome in Australia","volume":"87","author":"Winter","year":"2017","journal-title":"ANZ J Surg"}],"container-title":["European Journal of Obstetrics &amp; Gynecology and Reproductive Biology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526001739?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0301211526001739?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:35:25Z","timestamp":1786372525000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0301211526001739"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":34,"alternative-id":["S0301211526001739"],"URL":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115106","relation":{},"ISSN":["0301-2115"],"issn-type":[{"value":"0301-2115","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The role of ultrasound in decision-making for the management of suspected acute appendicitis during pregnancy","name":"articletitle","label":"Article Title"},{"value":"European Journal of Obstetrics & Gynecology and Reproductive Biology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ejogrb.2026.115106","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"115106"}}