Case 9.15

2014 ◽  
pp. 448-450
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Abdominal Pain ◽  
Pregnant Woman ◽  
Signal Intensity

23-year-old pregnant woman with worsening abdominal pain Coronal (Figure 9.15.1), axial (Figure 9.15.2), and sagittal (Figure 9.15.3) SSFSE images show a dilated, fluid-filled appendix. A structure at the junction of the appendix and the cecum has low signal intensity and represents an obstructing appendicolith. Note also the mild edema and stranding in the periappendiceal fat....

A 23-year-old pregnant woman with acute-onset abdominal pain and hypotension

2014 ◽  
pp. 106-108
Author(s):  
Rachel K. Love ◽  
Nicole Calloway Rankins ◽  
David Chelmow ◽  
Christine R. Isaacs ◽  
Ashley Carroll
Keyword(s):  
Abdominal Pain ◽  
Pregnant Woman ◽  
Acute Onset

Case 5.1

2014 ◽  
pp. 245-246
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Diabetes Mellitus ◽  
Abdominal Pain ◽  
Signal Intensity ◽  
Recurrent Abdominal Pain ◽  
Iron Deposition ◽  
History Of ◽  
T2 Weighted Images

35-year-old man with a long history of diabetes mellitus and recent episode of peritonitis now presents with recurrent abdominal pain and fever Axial fat-suppressed FSE T2-weighted images (Figure 5.1.1) show multiple hyperintense lesions in the spleen. The diffuse, decreased signal intensity throughout the remainder of the spleen is due to hemosiderosis and iron deposition. Gadolinium-enhanced axial 3D SPGR images (...

scholarly journals Intussusception in a pregnant woman

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Ana Cristina Silva ◽  
Pedro Soares Moreira ◽  
Vitor Costa Simões ◽  
Mónica Sampaio ◽  
Marisa Domingues Santos
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Pregnant Patient ◽  
Computed Tomography Scan ◽  
Intestinal Necrosis ◽  
History Of ◽  
Emergent Laparotomy ◽  
Tomography Scan

Abstract Abdominal pain in a pregnant woman with a history of laparoscopic Roux-en-Y gastric bypass (LRYGB) in the emergency department is challenging. Intussusception is a rare cause of small bowel obstruction after LRYGB and can lead to intestinal necrosis, perforation, sepsis and death. The authors report a case of a 34-week pregnant patient, previously submitted to LRYGB, presenting to the emergency department with abdominal pain and vomiting. A computed tomography scan suggested the presence of ileoileal intussusception. So, an emergent laparotomy was performed with invagination reduction. The postoperative period was uneventful, as well as pregnancy and caesarian performed 4 weeks after surgery. At the 45-month follow-up, there was no recurrence of intussusception.

scholarly journals Left flank pain during pregnancy with an unpredictable etiology: think of nonhemorrhagic adrenal infarction

2021 ◽  
pp. FSO718
Author(s):  
Myriam Jerbaka ◽  
Tracy Slaiby ◽  
Zahraa Farhat ◽  
Yara Diab ◽  
Nawal Toufayli ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Pregnant Patient ◽  
Flank Pain ◽  
Computed Tomography Scan ◽  
Left Flank ◽  
Left Flank Pain ◽  
Tomography Scan ◽  
Adrenal Infarction

Abdominal pain is the most presenting complaint during pregnancy with multiple etiologies. The diagnosis could be unpredictable. We present a case of 36-year-old pregnant woman gravida 10 para 7 abortus 2 at 36 + 5 weeks of gestation presenting twice for an increasing left abdominal pain, not relieved despite analgesics. She was delivered for severe oligohydramnios. After delivery, she was found to have a left adrenal infarction on computed tomography scan. She was found to have two mutations of the gene  MTHFR 677CC. Our presented case should remind physicians to consider the presence of thromboembolic state during pregnancy. The diagnosis of adrenal infarction should be among the differentials of an ambiguous flank pain that is resilient to medical therapy. Diagnosis in a pregnant patient can be easily confirmed with MRI, after which anticoagulation should be started and the workup for hypercoagulable state investigated.

Case 25-2019: A 41-Year-Old Pregnant Woman with Abdominal Pain

2019 ◽  
Vol 381 (7) ◽  
pp. 656-664 ◽  
Author(s):  
Noelle N. Saillant ◽  
Aoife Kilcoyne ◽  
Peter J. Fagenholz ◽  
Raymond Lui ◽  
Melissa Krystel-Whittemore
Keyword(s):  
Abdominal Pain ◽  
Pregnant Woman

Case 21-2021: A 33-Year-Old Pregnant Woman with Fever, Abdominal Pain, and Headache

2021 ◽  
Vol 385 (3) ◽  
pp. 265-274
Author(s):  
Andrea L. Ciaranello ◽  
Kathy M. Tran ◽  
Craig R. Audin ◽  
Melis N. Anahtar
Keyword(s):  
Abdominal Pain ◽  
Pregnant Woman

Case 7.23

2014 ◽  
pp. 349-350
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Abdominal Pain ◽  
Signal Intensity ◽  
Renal Mass ◽  
Cystic Lesion ◽  
Left Kidney ◽  
Chronic Abdominal Pain ◽  
Arterial Phase

21-year-old woman with chronic abdominal pain; CT revealed an incidental left renal mass Coronal SSFSE (Figure 7.23.1) and axial fat-suppressed FSE T2-weighted (Figure 7.23.2) images show a complex cystic lesion in the upper pole of the left kidney. Note also innumerable round lesions throughout the cortex of the left kidney showing markedly decreased T2-signal intensity. Axial arterial phase (...

scholarly journals Lower Abdominal Pain, Dyspnea, and Severe Shortness of Breath in a 28-Year-Old Pregnant Woman

2003 ◽  
Vol 34 (2) ◽  
pp. 104-107
Author(s):  
Yaseen Samman ◽  
Hossam Ghoneim ◽  
Ibrahim A. Hashim
Keyword(s):  
Abdominal Pain ◽  
Pregnant Woman ◽  
Lower Abdominal Pain ◽  
Shortness Of Breath

scholarly journals Adrenal infarction in a healthy pregnant woman

2016 ◽  
Vol 9 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Heidi Sormunen-Harju ◽  
Krista Sarvas ◽  
Niina Matikainen ◽  
Nanna Sarvilinna ◽  
E Kalevi Laitinen
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Pregnant Woman ◽  
Acute Abdomen ◽  
Rare Event ◽  
Normal Pregnancy ◽  
Healthy Pregnant Woman ◽  
Upper Abdominal ◽  
Adrenal Infarction ◽  
In Pregnancy

Adrenal infarction is a very rare event but occasionally seen in hypercoagulable states. We present a case of a 31-year-old woman at 38 weeks of gestation who developed a severe upper abdominal pain and unilateral adrenal infarction due to thrombosis of the adrenal vein. The only thrombogenic factor found was pregnancy. The case highlights that adrenal infarction may complicate a normal pregnancy and should be included in the differential diagnosis of the acute abdomen in pregnancy.

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