# Conservative Management of Phlegmon Appendicitis in Pregnancy: A Case Report

**Authors:** Hattan Degastani, Abdulrahman Alfadhel, Ali H Alsharedah, Tahir Mubarak, Jumanah Hamed Alqurashi

PMC · DOI: 10.7759/cureus.100969 · Cureus · 2026-01-07

## TL;DR

A pregnant woman with phlegmonous appendicitis was successfully treated with antibiotics and monitoring, avoiding surgery.

## Contribution

This case report demonstrates the successful conservative management of phlegmonous appendicitis during pregnancy.

## Key findings

- Antibiotic therapy and close monitoring led to favorable maternal and fetal outcomes.
- Surgical intervention was avoided without compromising patient safety.

## Abstract

Acute appendicitis is the most common non-obstetric surgical emergency mandating immediate intervention. The standard management of complicated appendicitis is surgical intervention; however, phlegmonous appendicitis has been sparsely studied in pregnancy. We report a case of phlegmonous appendicitis in pregnancy that was successfully managed with antibiotic therapy and close clinical and radiological follow-up, resulting in favorable maternal and fetal outcomes without the need for surgical intervention.

## Linked entities

- **Diseases:** acute appendicitis (MONDO:0005649)

## Full-text entities

- **Diseases:** Phlegmon Appendicitis (MESH:D002481), Acute appendicitis (MESH:D001064)

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12880834/full.md

## References

29 references — full list in the complete paper: https://tomesphere.com/paper/PMC12880834/full.md

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Source: https://tomesphere.com/paper/PMC12880834