An Atypical Case of a Common Pregnancy Issue: Appendicitis-Like Hyperemesis Gravidarum
Hyperemesis gravidarum (HG) is a severe subtype of nausea and vomiting in pregnancy (NVP) that typically affects women in their first trimester of pregnancy. Because HG is a diagnosis of exclusion, a thorough work-up ruling out organic causes must be performed. Herein, we describe a case of a pregna...
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Wiley
2020-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2020/6959605 |
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| author | Janice Chung Ryan P. Berryman |
| author_facet | Janice Chung Ryan P. Berryman |
| author_sort | Janice Chung |
| collection | DOAJ |
| description | Hyperemesis gravidarum (HG) is a severe subtype of nausea and vomiting in pregnancy (NVP) that typically affects women in their first trimester of pregnancy. Because HG is a diagnosis of exclusion, a thorough work-up ruling out organic causes must be performed. Herein, we describe a case of a pregnant woman with HG who presented with intractable pain mimicking appendicitis. While her clinical picture and ultrasound findings were only mildly consistent with appendicitis, the only therapy that provided pain relief was empiric antibiotic treatment that was prescribed due to a mildly elevated procalcitonin of 0.61. Thereby, the detection and treatment of concurrent organic causes is important as it may provide significant symptomatic relief in cases of concurrent HG. |
| format | Article |
| id | doaj-art-740cf84bd98f45de8d09f062ded6199d |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-740cf84bd98f45de8d09f062ded6199d2025-02-03T06:43:44ZengWileyCase Reports in Medicine1687-96271687-96352020-01-01202010.1155/2020/69596056959605An Atypical Case of a Common Pregnancy Issue: Appendicitis-Like Hyperemesis GravidarumJanice Chung0Ryan P. Berryman1Creighton University, School of Medicine, Phoenix Regional Campus, Phoenix, AZ, USADepartment of Internal Medicine, Saint Joseph’s Hospital and Medical Center, Phoenix, AZ, USAHyperemesis gravidarum (HG) is a severe subtype of nausea and vomiting in pregnancy (NVP) that typically affects women in their first trimester of pregnancy. Because HG is a diagnosis of exclusion, a thorough work-up ruling out organic causes must be performed. Herein, we describe a case of a pregnant woman with HG who presented with intractable pain mimicking appendicitis. While her clinical picture and ultrasound findings were only mildly consistent with appendicitis, the only therapy that provided pain relief was empiric antibiotic treatment that was prescribed due to a mildly elevated procalcitonin of 0.61. Thereby, the detection and treatment of concurrent organic causes is important as it may provide significant symptomatic relief in cases of concurrent HG.http://dx.doi.org/10.1155/2020/6959605 |
| spellingShingle | Janice Chung Ryan P. Berryman An Atypical Case of a Common Pregnancy Issue: Appendicitis-Like Hyperemesis Gravidarum Case Reports in Medicine |
| title | An Atypical Case of a Common Pregnancy Issue: Appendicitis-Like Hyperemesis Gravidarum |
| title_full | An Atypical Case of a Common Pregnancy Issue: Appendicitis-Like Hyperemesis Gravidarum |
| title_fullStr | An Atypical Case of a Common Pregnancy Issue: Appendicitis-Like Hyperemesis Gravidarum |
| title_full_unstemmed | An Atypical Case of a Common Pregnancy Issue: Appendicitis-Like Hyperemesis Gravidarum |
| title_short | An Atypical Case of a Common Pregnancy Issue: Appendicitis-Like Hyperemesis Gravidarum |
| title_sort | atypical case of a common pregnancy issue appendicitis like hyperemesis gravidarum |
| url | http://dx.doi.org/10.1155/2020/6959605 |
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