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Tackling management of these cases is more complex when other pathological processes are ongoing. Appendicitis is a common occurrence in pregnancy, with most obstetric centres seeing about one or two cases a year. Though maternal morbidity and mortality are relatively unimpacted by this event, fetal loss and preterm labour are common sequelae. This case involves a 35-year-old woman presenting in her third trimester with abdominal pain and who went on to be diagnosed with concurrent appendicitis and SARS-CoV-2 infection. Although spinal anaesthesia would be most appropriate as it avoids aerosol generation, general anaesthetic techniques were indicated due to thrombocytopenia in this case. She underwent a successful appendicectomy, although preterm delivery was indicated as a result of maternal and fetal concerns.<\/jats:p>","DOI":"10.1136\/bcr-2021-242651","type":"journal-article","created":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T11:51:14Z","timestamp":1624449074000},"page":"e242651","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Appendicitis with concurrent COVID-19 infection in a patient during the third trimester of pregnancy"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0132-7887","authenticated-orcid":false,"given":"Laura Jane","family":"Sanders-Davis","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, Shrewsbury and Telford Hospital NHS Trust, Telford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Ritchie","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Shrewsbury and Telford Hospital NHS Trust Maternity Services, Telford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,23]]},"reference":[{"key":"2025082710543693000_14.6.e242651.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2008.01594.x"},{"key":"2025082710543693000_14.6.e242651.2","first-page":"341","article-title":"Coronaviruses and gastrointestinal symptoms: an old liaison for the new SARS-CoV-2","volume":"13","author":"Caio","year":"2020","journal-title":"Gastroenterol Hepatol Bed Bench"},{"key":"2025082710543693000_14.6.e242651.3","unstructured":"John Hopkins University of Medicine . 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