{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T09:53:06Z","timestamp":1777542786557,"version":"3.51.4"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Acute appendicitis is the most common non-obstetric surgical emergency in pregnancy. We report a 30-year-old primigravida at 25\u00a0weeks\u2019 gestation who underwent laparoscopic appendectomy for appendicitis with localized peritonitis. Thirteen days later, she represented with worsening lower abdominal pain, vomiting, leukocytosis, vaginal bleeding, and uterine contractions. Ultrasound showed a right lower abdominal collection and a viable 27-week fetus. Magnetic resonance imaging demonstrated a peri-cecal abscess adherent to the uterus with associated intraperitoneal fluid suspicious for purulent peritonitis. After obstetric management and tocolysis, emergency surgery confirmed diffuse purulent peritonitis and a residual abscess adjacent to the prior appendectomy site. Drainage, lavage, and drain placement achieved maternal stabilization. No recurrent postoperative complication occurred, and the pregnancy progressed uneventfully to 39\u00a0weeks. Cesarean delivery resulted in a healthy 3200\u00a0g neonate with normal Apgar scores. This case highlights vigilance for delayed postoperative infection in pregnancy and timely imaging escalation with definitive source control.<\/jats:p>","DOI":"10.1093\/jscr\/rjag313","type":"journal-article","created":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T11:40:59Z","timestamp":1775907659000},"source":"Crossref","is-referenced-by-count":0,"title":["Delayed residual intra-abdominal abscess with threatened preterm labor after laparoscopic appendectomy in the second trimester"],"prefix":"10.1093","volume":"2026","author":[{"given":"Thu Hang","family":"Ho Thi","sequence":"first","affiliation":[{"name":"Vinh Long Government Health Department , 08 30-Thang-4 Street, Long Chau Ward 85118, Vinh Long ,","place":["Vietnam"]},{"name":"Obstetrics and Gynecology Department, Vinh Long General Hospital , 301 Tran Phu Street, Phuoc Hau Ward 85119, Vinh Long ,","place":["Vietnam"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Si Bao","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Health Sciences, Vietnam National University , Hai Thuong Lan Ong Street, Dong Hoa Ward 75308, Ho Chi Minh City ,","place":["Vietnam"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"2026042813245045700_ref1","volume-title":"StatPearls [Internet]","author":"Aptilon, Duque","year":"2025"},{"key":"2026042813245045700_ref2","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1016\/S0020-7292(09)61423-5","article-title":"Diagnosis of appendicitis during pregnancy and perinatal outcome in the late pregnancy","volume":"122","author":"Zhang","year":"2009","journal-title":"Chin Med J (Engl)"},{"key":"2026042813245045700_ref3","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1007\/s10140-022-02102-9","article-title":"MRI remains highly accurate in the diagnosis of appendicitis in pregnancy when read by radiologists of mixed specialty training and experience","volume":"30","author":"Buckley","year":"2023","journal-title":"Emerg Radiol"},{"key":"2026042813245045700_ref4","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1016\/j.jogoh.2017.03.008","article-title":"Laparoscopy in the second and third trimesters of pregnancy for abdominal surgical emergencies","volume":"46","author":"Guterman","year":"2017","journal-title":"J Gynecol Obstet Hum Reprod"},{"key":"2026042813245045700_ref5","doi-asserted-by":"publisher","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"},{"key":"2026042813245045700_ref6","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1007\/s00423-024-03421-w","article-title":"Risk factors for developing intra-abdominal abscess following appendicectomy for acute appendicitis: a retrospective cohort study","volume":"409","author":"Mao","year":"2024","journal-title":"Langenbecks Arch Surg"},{"key":"2026042813245045700_ref7","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.ijso.2017.12.003","article-title":"Risk factors for intra-abdominal abscess post laparoscopic appendicectomy for gangrenous or perforated appendicitis: a retrospective cohort study","volume":"10","author":"Guy","year":"2018","journal-title":"International Journal of Surgery Open"},{"key":"2026042813245045700_ref8","doi-asserted-by":"publisher","first-page":"e91100","DOI":"10.7759\/cureus.91100","article-title":"Postoperative intra-abdominal abscess following general surgery: a systematic review of risk factors, prevention, and the role of laparotomy","volume":"17","author":"Taha","year":"2025","journal-title":"Cureus"},{"key":"2026042813245045700_ref9","doi-asserted-by":"publisher","first-page":"11","DOI":"10.3390\/biomedicines11112922","article-title":"Chorioamnionitis: an update on diagnostic evaluation","volume":"11","author":"Carter","year":"2023","journal-title":"Biomedicines"},{"key":"2026042813245045700_ref10","doi-asserted-by":"publisher","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"},{"key":"2026042813245045700_ref11","doi-asserted-by":"publisher","first-page":"4","DOI":"10.2214\/ajr.10.4323","article-title":"Imaging strategies for right lower quadrant pain in pregnancy","volume":"196","author":"Long","year":"2011","journal-title":"AJR Am J Roentgenol"},{"key":"2026042813245045700_ref12","doi-asserted-by":"publisher","first-page":"518","DOI":"10.1186\/s12884-024-06607-8","article-title":"Analysis of the impact of maternal sepsis on pregnancy outcomes: a population-based retrospective study","volume":"24","author":"Chen","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"2026042813245045700_ref13","doi-asserted-by":"publisher","first-page":"10","DOI":"10.3390\/children10050907","article-title":"Maternal infection and preterm birth: from molecular basis to clinical implications","volume":"10","author":"Daskalakis","year":"2023","journal-title":"Children (Basel)"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag313\/68180475\/rjag313.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/4\/rjag313\/68180475\/rjag313.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:25:02Z","timestamp":1777397102000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag313\/8664202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,1]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag313","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,4]]},"published":{"date-parts":[[2026,4,1]]},"article-number":"rjag313"}}