The utility of abdominopelvic CT in pregnant patients with abdominal pain and a negative or inconclusive abdominal MRI

Raj, Micheal H.; Mullins, John N.; Joan, M.; Choy, Andy; Grimaldi, Gregory; Friedman, Barry

doi:10.1016/j.clinimag.2019.10.008

Cited by 6 publications

(5 citation statements)

References 15 publications

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“…They examined the sonographic features of a normal intrauterine pregnancy as well as the most frequent pregnancy problems in the first trimester in the acute state in their study. In contrast to our findings, there were 108 individuals counted for bleeding status, with 6 (5.6%) having an ectopic pregnancy and 102 (94.4%) [17].…”

Section: Discussioncontrasting

confidence: 99%

“…The majority of women who have spontaneous abortions have vaginal bleeding [8]. All pregnant women have up to 25% bleeding at some time throughout their pregnancy, with half likely having a miscarriage [9]. Because of the fast change in uterine size, the development of associated theca lutein cysts, or ovarian torsion caused by theca lutein cysts, a molar pregnancy can induce pelvic pain [10].…”

Section: Introductionmentioning

confidence: 99%

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Role of Ultrasonography in Evaluation of Various Causes of Pelvic Pain in First Trimester of Pregnancy

Waqar¹,

Ali²,

Khan³

et al. 2021

PJMHS

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Background and Aim: Acute pelvic pain during pregnancy can be challenging to identify and manage. Ultrasound is still the most often utilized imaging modality for pregnant and postpartum women. The present study aimed to evaluate the ultrasonography role in various causes of pelvic pain in first trimester of pregnancy. Patients and Methods: This descriptive cross-sectional study was carried out on 286 pelvic pain pregnant women of first trimester. It was conducted in the department of Radiology in collaboration with Obstetrics and Gynecology department of Jinnah Hospital, Lahore from March 2022 to November 2022. Pregnant women with pelvic pain during early pregnancy were enrolled. Patient’s demographic details i.e. age, gestational age, HC, molar pregnancy, CRL, Fibroid, FHR, and bleeding on ultrasound were recorded. Data analysis was done using SPSS version 27. . Results: The overall mean age of participants was 26.84±2.86 years (18 to 45 years). Patients distribution based on age were as follows: 76 (26.6%) in 18-25 years, 156 (54.5%) in 26-35 years, and 54 (18.9%) in 36-45 years. Out of the total 286 pregnant women, the prevalence of bleeding, fibroids, cyst, and ectopic pregnancy was 92 (32.2%), 42 (14.7%), 56 (19.6%), and 18 (6.3%) respectively. The prevalence of pelvic pain causes such as Corpus luteal cyst, Dermoid Cyst, Ectopic pregnancy, Intramural Fibroid, Submucosal Fibroid, and sub serosal fibroid was 38/54 (70.4%), 26/34 (76.5%), 22/28 (78.6%), 1/20 (5%), 4/10 (40%), and 1/22 (4.5%) respectively. Conclusion: Bleeding was the most dominant finding followed by cyst and fibroids in pregnant women with chronic pelvic pain during early pregnancy. Pelvic pain in the early pregnancy can be difficult to treat. In assessing these individuals, ultrasound is a critical imaging modality. Keywords: Pelvic pain, ultrasonography, causes, first trimester, pregnancy

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Role of Ultrasonography in Evaluation of Various Causes of Pelvic Pain in First Trimester of Pregnancy

Waqar¹,

Ali²,

Khan³

et al. 2021

PJMHS

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“…According to a WHO survey on caesarean section rates in 2007-2008, among the nine Asian countries surveyed, China has the highest rate of caesarean section at 46.2%. With changes in social concepts and population policy adjustments, the age of childbearing has been delayed, and the number of “second children” has increased; many people with “second children” are advanced mothers, which may increase the incidence of placenta accreta and clinical issues that must be faced by an obstetrician [ 3 ]. Accurate prenatal diagnosis, planned cesarean section, and hysterectomy can reduce complications and mortality in pregnancy with placenta accreta.…”

Section: Introductionmentioning

confidence: 99%

Application of Ultrasound Combined with Magnetic Resonance Imaging in the Diagnosis and Grading of Patients with Prenatal Placenta Accreta

2022

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In order to study the clinical application value of placenta accreta (PIA) diagnosis and grading, the authors propose a method based on ultrasound combined with magnetic resonance imaging in the diagnosis and grading of prenatal placenta accreta patients. This method is adopted in materials and methods: a retrospective analysis of hospital patients with high suspicion of placenta accreta by clinical or ultrasonography between October 2019 and October 2021, the imaging and clinical data of 312 patients who underwent placental MRI examination. The MRI imaging data of all patients were jointly analyzed, and the main observation indicators are as follows: (1) dark zone in the placenta, (2) disruption of the border of the myometrium, (3) disruption of the myometrium, (4) abnormal blood vessels in the placenta, (5) enlargement of the lower part of the uterus, and (6) local bulge of the bladder/or invasion of the adjacent tissues of the uterus. The results show the following: in MRI combined with ultrasonography ( P < 0.05 ), there was no statistical significance in the specificity and accuracy of MRI combined with ultrasound to diagnose PIA ( P > 0.05 ). The comparison of graded diagnostic accuracy showed that in ultrasound alone < MRI alone < MRI combined with ultrasound, the differences were statistically significant ( P < 0.05 ). Ultrasound combined with MRI in the diagnosis of placenta accreta is in good agreement with the clinical and surgical pathological results; MRI examination can be used as an important method for prenatal placenta accreta screening. MRI can classify placenta accreta to some extent.

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“…There may be spotting or bleeding in the vaginal area. 12 Pain is the most common presenting symptom (97%), followed by vaginal bleeding (79%), with abdominal tenderness (91%) and adnexal soreness (79%) being the most common physical findings (54%). The best technique to diagnose an ectopic pregnancy is to use a combination of ultrasonography and hCG levels 13 .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Ultrasonography in Various Causes of Pelvic Pain in first Trimester of Pregnancy

Hussain¹,

Farooq²,

Qayyum³

et al. 2022

PJMHS

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Background: Acute pelvic discomfort in pregnant and postpartum people can be difficult to diagnose and treat. Ultrasound is still the most common imaging modality used to evaluate pregnant and postpartum women. Aim: To see how useful ultrasonography is in evaluating several causes of pain in pelvic during early pregnancy. Methodology: A descriptive study was conducted at University of Lahore Teaching Hospital. Data of 344 participants were designated done suitable sample method. SPSS version 25 was used for data analysis. Results: In this table, 344 patients with pelvic pain are reported; 108 (31.4%) patients had bleeding, 58(16.9%) had fibroids out of 344 patients, 60 (17.4%) had cyst and 19 (5.5%) patients had ectopic pregnancy, 236 patients were not count for bleeding status in which 223 (94.5%) patients had no ectopic pregnancy & 13 (5.5%) patients had ectopic pregnancy. 108 patients were count for bleeding status, in which 6 (5.6%) patients had ectopic pregnancy & 102 (94.4%) patients had not ectopic pregnancy, 236 patients were not count for bleeding status in which 235 (99.6%) patients had no fibroids & 1 (0.4%) patients had fibroids. Conclusion: Fibroids and cysts were the most common findings in female with pain in pelvic in early pregnancy. Key words:Pain inLower abdominal, early pregnancy, first trimester, fibroid, Gestational sac, crown lump length.

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The utility of abdominopelvic CT in pregnant patients with abdominal pain and a negative or inconclusive abdominal MRI

Cited by 6 publications

References 15 publications

Role of Ultrasonography in Evaluation of Various Causes of Pelvic Pain in First Trimester of Pregnancy

Role of Ultrasonography in Evaluation of Various Causes of Pelvic Pain in First Trimester of Pregnancy

Application of Ultrasound Combined with Magnetic Resonance Imaging in the Diagnosis and Grading of Patients with Prenatal Placenta Accreta

Evaluation of Ultrasonography in Various Causes of Pelvic Pain in first Trimester of Pregnancy

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