Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study

Burke, Lauren M.; Bashir, Mustafa R.; Miller, Frank H.; Siegelman, Evan S.; Brown, Michèle A.; AlObaidy, Mamdoh; Jaffe, Tracy A.; Hussain, Shahid; Palmer, Suzanne; Garon, Bonnie L.; Oto, Aytekin; Reinhold, Caroline; Ascher, Susan M.; DeMulder, Danielle; Thomas, Stephen; Best, Shaun R.; Borer, James; Zhao, Ken; Pinel-Giroux, Fanny; Oliveira, Isabela de; Resende, Daniel; Semelka, Richard C.

doi:10.1016/j.ajog.2015.07.026

Cited by 56 publications

(21 citation statements)

References 38 publications

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“…It has been proposed to be used in pregnant patients with abdominal pain when US is inconclusive [33]. Recently, a systematic review and meta-analysis of diagnostic performance of MRI for evaluation of acute appendicitis was published [34].…”

Section: What Are the Optimal Methods In Diagnosing Iai That Balancesmentioning

confidence: 99%

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

et al. 2017

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This paper reports on the consensus conference on the management of intra-abdominal infections (IAIs) which was held on July 23, 2016, in Dublin, Ireland, as a part of the annual World Society of Emergency Surgery (WSES) meeting. This document covers all aspects of the management of IAIs. The Grading of Recommendations Assessment, Development and Evaluation recommendation is used, and this document represents the executive summary of the consensus conference findings.

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Section: What Are the Optimal Methods In Diagnosing Iai That Balancesmentioning

confidence: 99%

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

et al. 2017

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“…[6] Although US is the most commonly and easily performed diagnostic tool for AA in pregnancy, recently magnetic resonance imaging (MRI) has been reported to be superior, with sensitivity and specificity rates of 96.8% and 99.2% respectively. [7,8] Since most of the signs of appendicitis are also found during normal pregnancy period, decisions about surgery become more difficult with these patients. Surgery is unavoidable, but there are stıll questions about which technique to be used for appendectomy, laparoscopic or open surgery.…”

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confidence: 99%

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Arer

Alemdaroğlu²,

Yeşilağaç³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Acute appendicitis (AA) is the most common cause of acute abdomen during pregnancy. Most of the signs of appendicitis are also found during normal pregnancy period, however, and diagnosis of appendicitis during pregnancy remains challenging. The aim of the current study was to report our clinical experience of AA during pregnancy and investigate optimal management of this difficult situation.

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“…Diagnostic accuracy is at maximum level and can differentiate from other sources of pain that are common findings in pregnancy, such as: gastro-intestinal, hepatobiliary, gynecologic or urinary origin pain (18,19) In the present study all markers used were obtained early at admission, following clinical examination in the emergency clinic, with conservative management being thereafter decided. No patient had signs of perforation, although many complicated cases with phlegmon or abscess can treated conservatively, with excellent outcomes (20), despite surgery remaining the main treatment.…”

Section: Discussionmentioning

confidence: 99%

Non-Complicated Acute Appendicitis in Adults Treated Successfully by Conservative Treatment without Recurrences

Charalampopoulos¹,

Dimopoulos²,

Koliakos³

et al. 2017

chr

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Introducere: Tratamentul chirurgical al apendicitei rămâne tratamentul standard, dar multe cazuri răspund la tratament conservator. Scopul nostru este de a clarifica caracteristicile clinice, de laborator şi imagistice pentru cazurile fără complicaţii, tratate conservator fără recidive. Metodă: 105 pacienţi adulţi (66 femei şi 39 bărbaţi) cu apendicită acută fără complicaţii. S-a înregistrat durata simptomelor, examinarea clinică abdominală, temperatura, markerii inflamatori, rezultatele studiilor imagistice şi tratamentul în timpul spitalizării. Nici unul din pacienţi nu a avut episoade precedente de apendicită. Rezultate: Durata simptomelor a fost între 2 ore -3 zile. Examinarea abdominală a fost compatibilă cu apendicita şi problemele au fost localizate în cadranul inferior drept. Majoritatea pacienţilor (85.7%) au fost afebrili sau cu febră joasă (<37.4°C). Toţi pacienţii au prezentat leucocitoză (între: 10.000-22.900 WBC/μL, în medie 14.370±2.900 WBC/μL), 3 pacienţi >20.000 WBC/μL. Toţi pacienţii au avut CRP ≥3.36 mg/l (în medie 46.8±40.5 mg/l), şi 3 >150 mg/l. S-a efectuat ecografie la 95 de pacienţi (în combinaţie cu ecografie transvaginală la 19 femei), cu confirmarea apendicitei acute în 91 de cazuri (91/95, 95.7%). În cazul rezultatelor neconcludente s-a efectuat CT (13 pacienţi) şi RMN la o pacientă însărcinată. Tratamentul conservator intraspitalicesc a durat 1-10 zile (depăşit cu 1-2 zile), şi a fost urmat de regresia clinică şi a rezultatelor de laborator. 27 de pacienţi internaţi în ambulator au urmat un tratament cu antibiotic şi au fost externaţi. Concluzii: Pacienţii tineri cu apendicită acută fără complicaţii şi cu simptome de scurtă durată, fără boli rare, sunt candidaţi pentru tratament conservator. Diagnosticul apendicitei acute fără complicaţii se bazează pe combinarea semnelor clinice, markeri inflamatori pozitivi şi examinare imagistică, excluzând cazurile cu complicaţii, peritonită generalizată şi sepsis. Inflamaţia pare a fi autolimitată, în timp ce rolul antiinflamatoarelor rămâne neclar. Abrevieri: WBC = globule albe, CRP = proteina C-Reactivă, CT = Tomografie computerizată, RMN = rezonanţă magnetică

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Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study

Cited by 56 publications

References 38 publications

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

Management of intra-abdominal infections: recommendations by the WSES 2016 consensus conference

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Non-Complicated Acute Appendicitis in Adults Treated Successfully by Conservative Treatment without Recurrences

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