This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Medical, surgical and gynaecological illness complicating pregnancy, Subject name: Gynaecology & Obstetrics
In a female with appendicitis in pregnancy treatment of choice is 
Select and explain. 
A. Surgery at earliest, B. Aboion with appendectomy, C. Surgery after delivery, D. Continue pregnancy with medical Rx
A: Surgery at earliest
Answer: A: Surgery at earliest 
Explanation: Acute Appendicitis incidence is about 1 in 1000 pregnancies. It is most common nongyneocological cause of acute abdomen requiring surgery. Management of appendicitis Treatment consists of laparotomy at the earliest oppuunity.Once the diagnosis is suspected it is better to operate rather than to wait until generalised peritonitis has developed.Muscle splitting incision should be made at the point of maximum tenderness.Laparoscopic appendicectomy can be done before 28 weeks of gestation. D.C.DUTTA'S TEXTBOOK OF OBSTETRICS,Pg no:285,9th edition