Challenges in Magnetic Resonance Imaging for Suspected Acute Appendicitis in Pregnant Patients
Challenges in Magnetic Resonance Imaging for Suspected Acute Appendicitis in Pregnant Patients
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DOI：
10.1067/j.cpradiol.2015.01.001
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发表时间：
2015-07-01
影响因子：
1.4
通讯作者：
Singh, Ajay
中科院分区：
文献类型：
--
作者：
Ditkofsky, Noah G.;Singh, Ajay
评估妊娠患者腹痛是一项临床挑战，因为人们不仅要考虑腹痛的常见病因，还要考虑妊娠引起的病因。进一步使评估复杂化的是由于子宫扩大导致正常解剖结构的移位和压迫而导致的解剖和生理改变。这种解剖结构的改变使阑尾炎的症状更加多变，因此诊断更加困难。适当和及时的影像学检查可导致更好的患者预后，当怀疑阑尾炎时，影像学检查不应延误。本文回顾了磁共振成像在怀疑阑尾炎的妊娠患者中的一些挑战，并提出了成像这一人群的策略。(C) 2015 Mosby, Inc.版权所有。
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. (C) 2015 Mosby, Inc. All rights reserved.