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Should MRI Be the Imaging Modality of Choice in Suspected Appendicitis During Pregnancy?
Donlon, N E; Kelly, M E; Davern, M; Sheppard, A; Nugent, T; Durand, M; Mehigan, B J; Larkin, J O; McCormick, P H.
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  • Donlon NE; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
  • Kelly ME; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
  • Davern M; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
  • Sheppard A; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
  • Nugent T; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
  • Durand M; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
  • Mehigan BJ; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
  • Larkin JO; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
  • McCormick PH; Department of General & Colorectal Surgery, St. James's Hospital, Dublin 8, Ireland.
Ir Med J ; 112(10): 1018, 2019 12 16.
Article en En | MEDLINE | ID: mdl-32311244
Aim The aim of this review was to evaluate the efficacy of magnetic resonance imaging (MRI) in determining appendicitis during pregnancy. Methods We retrospectively reviewed the clinical course for all pregnant patients with suspected appendicitis from 2013-2018. We evaluated the efficacy of MRI and Alvarado scoring and its impact on management. Results Twenty-nine pregnant patients with suspected appendicitis had an MRI. The majority (90%, n=26/29) had normal diagnostics with two patients (10.3%) having findings consistent with acute appendicitis. Two other patients proceeded to laparoscopy, one with an inconclusive MRI, and one patient with clinical appendicitis. We found no accurate correlation between pregnancy and Alvarado scoring. Conclusion MRI is a safe adjunct in accurately diagnosing appendicitis in pregnancy. Its routine use could help reduce rates of negative appendectomies and the potential risk to maternal and fetal health.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apendicitis / Complicaciones del Embarazo Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Ir Med J Año: 2019 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Irlanda
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Apendicitis / Complicaciones del Embarazo Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Pregnancy Idioma: En Revista: Ir Med J Año: 2019 Tipo del documento: Article País de afiliación: Irlanda Pais de publicación: Irlanda