Case report: The obstetric patient going for non-obstetric surgery

Abstract

Surgical disease during pregnancy is relatively common. Surgical intervention depends on its urgency and priority is given to the mother's health though the surgical treatment poses threat to both mother and foetus
Case Summary: A 24-year-old gravida 3 Para 2+0 known asthmatic at a gestational age of 20 weeks was diagnosed of acute appendicitis. General anaesthesia was administered with rapid sequence induction with propofol, endotracheal intubation facilitated with suxamethonium, anaesthesia maintained with
pancuronium and halothane. Neuromuscular block was reversed with neostigmine. Operative findings were a ruptured appendix. She had a spontaneous vagina delivery at 36 weeks.
Conclusion: Anaesthetic and surgical management of non-obstetric surgery during pregnancy is a challenge especially in developing countries where there is lack of sophisticated equipment.