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Appendicitis in Pregnancy
Anne M. Kennedy, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Definitions

            • Acute appendicitis occurring in a pregnant woman

          IMAGING

          • Ultrasonographic Findings

            • CT Findings

              • MR Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    CLINICAL ISSUES

                    • Presentation

                      • Natural History & Prognosis

                        • Treatment

                          DIAGNOSTIC CHECKLIST

                          • Consider

                            • Image Interpretation Pearls

                              Selected References

                              1. Blumenfeld YJ et al: MR imaging in cases of antenatal suspected appendicitis--a meta-analysis. J Matern Fetal Neonatal Med. 24(3):485-8, 2011
                              2. de Bakker JK et al: Safety and outcome of general surgical open and laparoscopic procedures during pregnancy. Surg Endosc. Epub ahead of print, 2010
                              3. Fulton MB et al: Drainage with antibiotics is effective therapy for appendicitis in pregnancy. JAAPA. 23(3):29-31, 2010
                              4. Shetty MK et al: Abdominal computed tomography during pregnancy for suspected appendicitis: a 5-year experience at a maternity hospital. Semin Ultrasound CT MR. 31(1):8-13, 2010
                              5. Freeland M et al: Diagnosis of appendicitis in pregnancy. Am J Surg. 198(6):753-8, 2009
                              6. Gilo NB et al: Appendicitis and cholecystitis in pregnancy. Clin Obstet Gynecol. 52(4):586-96, 2009
                              7. Lazarus E et al: CT in the evaluation of nontraumatic abdominal pain in pregnant women. Radiology. 244(3):784-90, 2007
                              8. Patel SJ et al: Imaging the pregnant patient for nonobstetric conditions: algorithms and radiation dose considerations. Radiographics. 27(6):1705-22, 2007
                              9. Pedrosa I et al: MR imaging of acute right lower quadrant pain in pregnant and nonpregnant patients. Radiographics. 27(3):721-43; discussion 743-53, 2007
                              10. Wagner LK et al: When a pregnant woman with suspected appendicitis is referred for a CT scan, what should a radiologist do to minimize potential radiation risks? Pediatr Radiol. 34(7):589-90, 2004
                              11. Ames Castro M et al: The use of helical computed tomography in pregnancy for the diagnosis of acute appendicitis. Am J Obstet Gynecol. 184(5):954-7, 2001
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Imaging

                                • Top Differential Diagnoses

                                  • Clinical Issues

                                    • Diagnostic Checklist

                                      TERMINOLOGY

                                      • Definitions

                                        • Acute appendicitis occurring in a pregnant woman

                                      IMAGING

                                      • Ultrasonographic Findings

                                        • CT Findings

                                          • MR Findings

                                            • Imaging Recommendations

                                              DIFFERENTIAL DIAGNOSIS

                                                CLINICAL ISSUES

                                                • Presentation

                                                  • Natural History & Prognosis

                                                    • Treatment

                                                      DIAGNOSTIC CHECKLIST

                                                      • Consider

                                                        • Image Interpretation Pearls

                                                          Selected References

                                                          1. Blumenfeld YJ et al: MR imaging in cases of antenatal suspected appendicitis--a meta-analysis. J Matern Fetal Neonatal Med. 24(3):485-8, 2011
                                                          2. de Bakker JK et al: Safety and outcome of general surgical open and laparoscopic procedures during pregnancy. Surg Endosc. Epub ahead of print, 2010
                                                          3. Fulton MB et al: Drainage with antibiotics is effective therapy for appendicitis in pregnancy. JAAPA. 23(3):29-31, 2010
                                                          4. Shetty MK et al: Abdominal computed tomography during pregnancy for suspected appendicitis: a 5-year experience at a maternity hospital. Semin Ultrasound CT MR. 31(1):8-13, 2010
                                                          5. Freeland M et al: Diagnosis of appendicitis in pregnancy. Am J Surg. 198(6):753-8, 2009
                                                          6. Gilo NB et al: Appendicitis and cholecystitis in pregnancy. Clin Obstet Gynecol. 52(4):586-96, 2009
                                                          7. Lazarus E et al: CT in the evaluation of nontraumatic abdominal pain in pregnant women. Radiology. 244(3):784-90, 2007
                                                          8. Patel SJ et al: Imaging the pregnant patient for nonobstetric conditions: algorithms and radiation dose considerations. Radiographics. 27(6):1705-22, 2007
                                                          9. Pedrosa I et al: MR imaging of acute right lower quadrant pain in pregnant and nonpregnant patients. Radiographics. 27(3):721-43; discussion 743-53, 2007
                                                          10. Wagner LK et al: When a pregnant woman with suspected appendicitis is referred for a CT scan, what should a radiologist do to minimize potential radiation risks? Pediatr Radiol. 34(7):589-90, 2004
                                                          11. Ames Castro M et al: The use of helical computed tomography in pregnancy for the diagnosis of acute appendicitis. Am J Obstet Gynecol. 184(5):954-7, 2001