Nonhemorrhagic Adrenal Infarction With Magnetic Resonance Imaging Features During Pregnancy
Nonhemorrhagic Adrenal Infarction With Magnetic Resonance Imaging Features During Pregnancy
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DOI：
10.1097/aog.0000000000000884
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发表时间：
2015-10-01
影响因子：
7.2
通讯作者：
Tatli, Servet
中科院分区：
文献类型：
--
作者：
Guenette, Jeffrey P.;Tatli, Servet
背景：肾上腺梗死是妊娠期严重腹痛的罕见原因。肾上腺梗死的磁共振成像（MRI）的特点以前没有被彻底描述。案例：一个20岁的女子，孕妇1段0，在27 4/7周的妊娠突然发作右上腹和胁腹疼痛。一位29岁的女性，第二胎第一胎，在妊娠17 5/7周时出现突发性右腹部和侧腹疼痛，并在妊娠35 5/7周时再次出现突发性严重左腹和上腹部疼痛。在这两名患者中，在最初的非诊断性超声检查和MRI检查后，通过对比增强计算机断层扫描诊断为单侧肾上腺梗死。非出血性肾上腺梗死的临床表现和MRI特征进行了描述。结论：非出血性肾上腺梗死可能是一个漏诊的原因，急性腹痛在怀孕期间，可以通过MRI诊断。
BACKGROUND: Adrenal infarction is an infrequent cause of severe abdominal pain during pregnancy. The magnetic resonance imaging (MRI) features of adrenal infarction have not previously been thoroughly described.CASES: A 20-year-old woman, gravida 1 para 0, presented at 27 4/7 weeks of gestation with sudden-onset right upper quadrant and flank pain. A 29-year-old woman, gravida 2 para 1, presented at 17 5/7 weeks of gestation with sudden-onset right abdominal and flank pain and again at 35 5/7 weeks of gestation with sudden-onset severe left flank and upper quadrant pain. In both patients, unilateral adrenal infarction was diagnosed on contrast-enhanced computed tomography after initial nondiagnostic ultrasonography and MRI. Clinical presentation and MRI features of nonhemorrhagic adrenal infarction are described.CONCLUSION: Nonhemorrhagic adrenal infarction may be an underdiagnosed cause of acute abdominal pain during pregnancy and can be diagnosed with MRI.