Should MRI Be the Imaging Modality of Choice in Suspected Appendicitis During Pregnancy?
Appendicitis
Emergency Surgery
MRI
Pregnancy
Journal
Irish medical journal
ISSN: 0332-3102
Titre abrégé: Ir Med J
Pays: Ireland
ID NLM: 0430275
Informations de publication
Date de publication:
16 12 2019
16 12 2019
Historique:
entrez:
21
4
2020
pubmed:
21
4
2020
medline:
10
7
2020
Statut:
epublish
Résumé
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.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1018Déclaration de conflit d'intérêts
All authors declare no conflict of interest.