Ditkofsky Noah G, Singh Ajay
Department of Radiology, Emory University Hospital Midtown, Emory University School of Medicine, Atlanta, GA.
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Curr Probl Diagn Radiol. 2015 Jul-Aug;44(4):297-302. doi: 10.1067/j.cpradiol.2015.01.001. Epub 2015 Jan 14.
The assessment of a gravid patient with abdominal pain is a clinical challenge, as one must consider not only the common etiologies for abdominal pain but also etiologies resulting from the pregnancy. Further complicating the assessment is the altered anatomy and physiology that result from the enlarged uterus displacing and compressing normal anatomical structures. This alteration of anatomy makes the symptoms of appendicitis more variable and thus the diagnosis more difficult. Appropriate and timely imaging can result in better patient outcomes, and when appendicitis is suspected, imaging investigation should not be delayed. This article reviews some of the challenges of magnetic resonance imaging in gravid patients with suspected appendicitis and presents strategies for imaging this population.
对患有腹痛的孕妇进行评估是一项临床挑战，因为必须既要考虑腹痛的常见病因，也要考虑由妊娠引起的病因。子宫增大导致正常解剖结构移位和受压，从而使解剖结构和生理功能发生改变，这进一步增加了评估的复杂性。这种解剖结构的改变使得阑尾炎的症状更加多变，从而使诊断更加困难。恰当而及时的影像学检查能够带来更好的患者预后，当怀疑患有阑尾炎时，影像学检查不应延迟。本文回顾了磁共振成像在疑似阑尾炎孕妇中的一些挑战，并提出了针对这一人群进行成像的策略。
