NYIT College of Osteopathic Medicine, Old Westbury, 101 Northern Boulvard, Glen Head, NY 11545, USA.
Department of Radiology, NYU Langone Hospital, 222 Station Plaza North, Suite 501, Mineola, NY 11501, USA.
Magn Reson Imaging Clin N Am. 2022 Aug;30(3):515-532. doi: 10.1016/j.mric.2022.04.010.
Evaluation of a pregnant patient presenting with acute abdominal pain can be challenging to accurately diagnose for a variety of reasons, and particularly late in pregnancy. Noncontrast MR remains a safe and accurate diagnostic imaging modality for the pregnant patient presenting with acute abdominal pain, following often an initially inconclusive ultrasound examination, and can be used in most settings to avoid the ionizing radiation exposure of a computed tomography scan. Pathologic processes discussed in this article include some of the more common gastrointestinal, hepatobiliary, genitourinary, and gynecologic causes of abdominal pain occurring in pregnancy, as well as traumatic injuries.
评估因各种原因，特别是在妊娠晚期出现急性腹痛的孕妇时，准确诊断具有挑战性。对于因最初超声检查结果不确定而出现急性腹痛的孕妇，非对比磁共振成像仍然是一种安全且准确的诊断成像方式，可在大多数情况下使用，以避免计算机断层扫描的电离辐射暴露。本文讨论的病理过程包括一些在妊娠期间更常见的胃肠道、肝胆、泌尿生殖和妇科腹痛的原因，以及创伤性损伤。
