Appendicitis in pregnancy: Difficulties in diagnosis and management. Guidance for the emergency general surgeon: A systematic review

- Early investigation is essential.
- Surgery without prior radiological investigations is not advised unless there is certainty about diagnosis.
- Early USS followed by MRI scanning in inconclusive cases is indicated.
- Management is surgical with choice of laparotomy vs laparoscopy made depending on patient factors.
- Adjustments to the laparoscopic approach should be considered and planned prior to surgery.