Abdominal Radiology

, Volume 37, Issue 5, pp 849–860

Imaging the pregnant patient with abdominal pain

  • Graham W. Wallace
  • Melissa A. Davis
  • Richard C. Semelka
  • Julia R. Fielding
Article

DOI: 10.1007/s00261-011-9827-5

Cite this article as:
Wallace, G.W., Davis, M.A., Semelka, R.C. et al. Abdom Radiol (2012) 37: 849. doi:10.1007/s00261-011-9827-5

Abstract

Imaging of pregnant patients with non-obstetric abdominal pain is reviewed, with an accompanying pictorial essay of cases with concentration on magnetic resonance imaging. Non-obstetric causes of abdominal pain during pregnancy are similar to those of non-pregnant patients. The most common causes are appendicitis and cholecystitis. Other causes are myriad and include biliary, gastrointestinal, infectious, inflammatory, and malignant etiologies, among others. The approach to imaging in pregnant patient is unique, as it is imperative to minimize potentially harmful radiation exposures to the fetus. Ultrasound and MRI are the primary modalities for evaluation of the pregnant patient with abdominal pain. The use of intravenous contrast is discouraged, except in highly-selected patients where there is no other way to obtain vital diagnostic information. CT is still used as the mainstay of evaluation of blunt abdominal trauma and is commonly used for diagnosis of small bowel obstruction, stone disease, and work-up of malignancy during pregnancy. A discussion of test selection and underlying rationale is presented.

Keywords

Abdominal pain Pregnancy Magnetic resonance imaging (MRI) 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Graham W. Wallace
    • 1
  • Melissa A. Davis
    • 1
  • Richard C. Semelka
    • 1
  • Julia R. Fielding
    • 1
  1. 1.University of North CarolinaChapel HillUSA