{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T04:52:06Z","timestamp":1758862326877,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,4,27]]},"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>Acute appendicitis is the most common nonobstetric condition requiring surgery in pregnancy. However, the diagnosis of acute appendicitis during pregnancy is challenging because of obscure clinical manifestations and laboratory findings. Intravenous antibiotic treatment is not preferred over operation because of the poor outcome. Here, we present a case of a 34-year-old woman in the second trimester of pregnancy who presented with suprapubic pain and an unexpected 3.5 cm-long exophytic intramural myoma on the right anterolateral wall of the uterus rather than prominent appendicitis features; thus, it took 2\u2009days to confirm the diagnosis. Laparoscopic appendectomy was performed, and the patient was discharged without lingering reports on postoperative day 6. Acute appendicitis during pregnancy is common; therefore, attentive clinical suspicion will contribute to shorter hospital stays as well as fewer maternal and fetal complications.<\/jats:p>","DOI":"10.1136\/bcr-2020-238476","type":"journal-article","created":{"date-parts":[[2021,5,11]],"date-time":"2021-05-11T12:42:32Z","timestamp":1620736952000},"page":"e238476","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Acute appendicitis in pregnancy mimicking leiomyoma pain"],"prefix":"10.1136","volume":"14","author":[{"given":"Yuna","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Seoul Medical Center, Jungnang-gu, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inchul","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Seoul Medical Center, Jungnang-gu, Seoul, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,5,11]]},"reference":[{"key":"2025082723473244000_14.5.e238476.1","first-page":"30","article-title":"Case report and management of suspected acute appendicitis in pregnancy","volume":"70","author":"Murariu","year":"2011","journal-title":"Hawaii Med J"},{"key":"2025082723473244000_14.5.e238476.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(99)00013-2"},{"key":"2025082723473244000_14.5.e238476.3","first-page":"295","article-title":"Acute appendicitis in pregnancy. A review of 52 cases","volume":"81","author":"Al-Mulhim","year":"1996","journal-title":"Int Surg"},{"key":"2025082723473244000_14.5.e238476.4","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.1999.780903.x"},{"key":"2025082723473244000_14.5.e238476.5","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1055\/s-0037-1620279","article-title":"Nonoperative treatment of appendicitis during pregnancy in a remote area","volume":"8","author":"Carstens","year":"2018","journal-title":"AJP Rep"},{"key":"2025082723473244000_14.5.e238476.6","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-7-200410050-00011"},{"key":"2025082723473244000_14.5.e238476.7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1995.tb00564.x"},{"key":"2025082723473244000_14.5.e238476.8","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2016-214722"},{"key":"2025082723473244000_14.5.e238476.9","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8889"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-238476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:47:40Z","timestamp":1756363660000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-238476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5]]},"references-count":9,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,11]]},"published-print":{"date-parts":[[2021,5]]}},"alternative-id":["10.1136\/bcr-2020-238476"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-238476","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2021,5]]}}}