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Imaging of Acute Abdominopelvic Pain in Pregnancy and Puerperium-Part II: Non-Obstetric Complications.

作者信息

Masselli Gabriele, Bonito Giacomo, Gigli Silvia, Ricci Paolo

机构信息

Department of Emergency Radiology-Policlinico Umberto I Hospital, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.

Department of Diagnostic Imaging, Sandro Pertini Hospital, Via dei Monti Tiburtini 385, 00157 Rome, Italy.

出版信息

Diagnostics (Basel). 2023 Sep 11;13(18):2909. doi: 10.3390/diagnostics13182909.


DOI:10.3390/diagnostics13182909
PMID:37761275
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10528125/
Abstract

Emergency imaging in pregnancy and puerperium poses unique challenges both for clinicians and radiologists, requiring timely and accurate diagnosis. Delay in treatment may result in poor outcomes for both the patient and the foetus. Pregnant and puerperal patients may present in the emergency setting with acute abdominopelvic pain for various complications that can be broadly classified into obstetric and non-obstetric related diseases. Ultrasonography (US) is the primary diagnostic imaging test; however, it may be limited due to the patient's body habitus and the overlapping of bowel loops. Computed tomography (CT) carries exposure to ionising radiation to the foetus, but may be necessary in selected cases. Magnetic resonance imaging (MRI) is a valuable complement to US in the determination of the etiology of acute abdominal pain and can be used in most settings, allowing for the identification of a broad spectrum of pathologies with a limited protocol of sequences. In this second section, we review the common non-obstetric causes for acute abdominopelvic pain in pregnancy and post partum, offering a practical approach for diagnosis and pointing out the role of imaging methods (US, MRI, CT) with the respective imaging findings.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/0658b2869f29/diagnostics-13-02909-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/8601d68ec81d/diagnostics-13-02909-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/8fa0c5e83d10/diagnostics-13-02909-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/ebb0248a3def/diagnostics-13-02909-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/860ce650ae47/diagnostics-13-02909-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/3d21f9e4384d/diagnostics-13-02909-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/ac2709bccde3/diagnostics-13-02909-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/189fbf33fa32/diagnostics-13-02909-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/59c0c08b30e3/diagnostics-13-02909-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/551056bc1550/diagnostics-13-02909-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/31a4f1f75070/diagnostics-13-02909-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/0658b2869f29/diagnostics-13-02909-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/8601d68ec81d/diagnostics-13-02909-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/8fa0c5e83d10/diagnostics-13-02909-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/ebb0248a3def/diagnostics-13-02909-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/860ce650ae47/diagnostics-13-02909-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/3d21f9e4384d/diagnostics-13-02909-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/ac2709bccde3/diagnostics-13-02909-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/189fbf33fa32/diagnostics-13-02909-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/59c0c08b30e3/diagnostics-13-02909-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/551056bc1550/diagnostics-13-02909-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/31a4f1f75070/diagnostics-13-02909-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2153/10528125/0658b2869f29/diagnostics-13-02909-g011.jpg

相似文献

[1]
Imaging of Acute Abdominopelvic Pain in Pregnancy and Puerperium-Part II: Non-Obstetric Complications.

Diagnostics (Basel). 2023-9-11

[2]
Imaging of Acute Abdominopelvic Pain in Pregnancy and Puerperium-Part I: Obstetric (Non-Fetal) Complications.

Diagnostics (Basel). 2023-9-9

[3]
Magnetic resonance imaging of acute abdominal and pelvic pain in pregnancy.

Top Magn Reson Imaging. 2014-8

[4]
MR imaging for acute nontraumatic abdominopelvic pain: rationale and practical considerations.

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[5]
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Clin Imaging. 2019-11-11

[6]
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Clin Radiol. 2022-9

[7]
Prospective evaluation of MRI compared with CT for the etiology of abdominal pain in emergency department patients with concern for appendicitis.

J Magn Reson Imaging. 2019-3-20

[8]
Problem-solving with MRI in acute abdominopelvic conditions, part 2: gynecological, obstetric, vascular, and renal diseases.

Emerg Radiol. 2021-12

[9]
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[10]
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[1]
Cross-Sectional Imaging of Pelvic Inflammatory Disease: Diagnostic Pearls and Pitfalls on CT and MR.

Diagnostics (Basel). 2025-8-10

本文引用的文献

[1]
ACR Appropriateness Criteria® Right Upper Quadrant Pain: 2022 Update.

J Am Coll Radiol. 2023-5

[2]
Effects of ionizing radiation exposure during pregnancy.

Abdom Radiol (NY). 2023-5

[3]
Pregnancy-Associated Ovarian Torsion - a Single-Center Case-Control Study.

Reprod Sci. 2023-6

[4]
Pancreatitis in Pregnancy-Comprehensive Review.

Int J Environ Res Public Health. 2022-12-3

[5]
ACR Appropriateness Criteria® Right Lower Quadrant Pain: 2022 Update.

J Am Coll Radiol. 2022-11

[6]
Management of Kidney Stone Disease in Pregnancy: A Practical and Evidence-Based Approach.

Curr Urol Rep. 2022-11

[7]
Imaging the acute abdomen in pregnancy: a radiological decision-making tool and the role of MRI.

Clin Radiol. 2022-9

[8]
Acute Cholecystitis: A Review.

JAMA. 2022-3-8

[9]
Diagnostic accuracy of ultrasound in diagnosing acute appendicitis in pregnancy: a systematic review and meta-analysis.

Emerg Radiol. 2022-6

[10]
MRI as First Line Imaging for Suspected Acute Appendicitis during Pregnancy: Diagnostic Accuracy and level of Inter-Radiologist Agreement.

Curr Probl Diagn Radiol. 2022

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