Imaging the pregnant patient with abdominal pain
- 13 December 2011
- journal article
- review article
- Published by Springer Science and Business Media LLC in Abdominal Radiology
- Vol. 37 (5), 849-860
- https://doi.org/10.1007/s00261-011-9827-5
Abstract
Imaging of pregnant patients with non-obstetric abdominal pain is reviewed, with an accompanying pictorial essay of cases with concentration on magnetic resonance imaging. Non-obstetric causes of abdominal pain during pregnancy are similar to those of non-pregnant patients. The most common causes are appendicitis and cholecystitis. Other causes are myriad and include biliary, gastrointestinal, infectious, inflammatory, and malignant etiologies, among others. The approach to imaging in pregnant patient is unique, as it is imperative to minimize potentially harmful radiation exposures to the fetus. Ultrasound and MRI are the primary modalities for evaluation of the pregnant patient with abdominal pain. The use of intravenous contrast is discouraged, except in highly-selected patients where there is no other way to obtain vital diagnostic information. CT is still used as the mainstay of evaluation of blunt abdominal trauma and is commonly used for diagnosis of small bowel obstruction, stone disease, and work-up of malignancy during pregnancy. A discussion of test selection and underlying rationale is presented.Keywords
This publication has 14 references indexed in Scilit:
- Appendicitis and Cholecystitis in PregnancyClinical Obstetrics and Gynecology, 2009
- The safety of obstetrical ultrasound: a reviewPrenatal Diagnosis, 2009
- Emergency MRI of acute pelvic pain: MR protocol with no oral contrastEmergency Radiology, 2008
- MR imaging in the triage of pregnant patients with acute abdominal and pelvic painAbdominal Radiology, 2008
- Approach to the Acute Abdomen in PregnancyObstetrics and Gynecology Clinics of North America, 2007
- ACR Guidance Document for Safe MR Practices: 2007American Journal of Roentgenology, 2007
- Magnetic Resonance Imaging of Abdominal Pain During PregnancyTopics in Magnetic Resonance Imaging, 2006
- Magnetic Resonance Imaging of Maternal Diseases Causing Acute Abdominal Pain During PregnancyJournal of Computer Assisted Tomography, 2005
- Gastric cancer in pregnancy: Do pregnancy, age or female sex alter the prognosis?: Case reports and reviewEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 1999
- Radiologic ABCs of Maternal and Fetal Survival after Trauma: When Minutes May CountRadioGraphics, 1999