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Non-obstetric Complications in Pregnancy: Role of Imaging

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Breast & Gynecological Diseases

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Abstract

Imaging evaluation of the pregnant patient for non-obstetrical symptoms or complication is challenging. Radiographic imaging has to be considered keeping in mind the effects of radiation on the developing fetus. A lack of understanding of the true risks to the fetus resulting from exposure to ionizing radiation by the managing clinician and the radiologist can be harmful to the pregnant patient and may result in delay in appropriate imaging for conditions affecting the pregnant woman. This is compounded by the fear of exposure to radiation by the patient and her family. A detailed description of the true risk of radiation exposure is presented. The current guidelines by the professional societies for appropriate use of imaging to evaluate symptoms and clinical findings in pregnant patients is discussed. The most common indication for imaging in pregnancy is abdominal and pelvic pain, other indications include investigation of an abdominal or pelvic mass, imaging of trauma, and renal colic. Appropriate and timely imaging is critical to avoid resultant morbidity and mortality of the pregnant woman as well as the fetus. Surgical intervention is associated with an increased risk of premature labor. Accurate diagnosis is important therefore to avoid unnecessary surgical intervention to safeguard the health of both the mother and the developing fetus. Diagnostic radiological examinations are generally safe to be performed during pregnancy, but careful consideration has to be given so as to tailor the examination to the clinical symptoms and to utilize nonradiological examinations such as ultrasound as the initial imaging technique. When radiological modalities are utilized, the exposure of the gravid abdomen to ionizing radiation has to be kept as low as reasonably possible. Informed consent prior to such imaging studies is important so that the patient understands the risks and benefit of undergoing radiological investigations.

  • Radiation risk considerations from use of diagnostic imaging in pregnancy

  • Imaging in the evaluation of non-obstetrical complications in pregnancy

    • Pelvic mass

    • Abdominal pain

    • Renal colic

    • Trauma

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Authors and Affiliations

  1. Baylor College of Medicine, Houston, TX, USA

    Mahesh K. Shetty

  2. Digestive Health Institute, GI & GYN Radiology, Abdominal Imaging, Department of Radiology, Case Western Reserve University, Cleveland, OH, USA

    Raj Mohan Paspulati

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    Mahesh K. Shetty

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Shetty, M.K., Paspulati, R.M. (2021). Non-obstetric Complications in Pregnancy: Role of Imaging. In: Shetty, M.K. (eds) Breast & Gynecological Diseases. Springer, Cham. https://doi.org/10.1007/978-3-030-69476-0_10

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