Acute appendicitis is the most common surgical emergency during pregnancy. The shifting of the intraabdominal contents by the gravid uterus makes clinical diagnosis, and often radiologic diagnosis, difficult. Traditionally, ultrasound and helical computed tomography of the abdomen have been used as primary imaging modalities for diagnosis of acute appendicitis. Ultrasound is often nondiagnostic in the setting of altered abdominal anatomy, and the radiation exposure to a fetus from computed tomography, especially in the first trimester, is not desirable. In the problem cases, magnetic resonance imaging should be considered to aid in the diagnosis of acute appendicitis. This case report alerts radiologists and obstetricians to the use of magnetic resonance imaging in the evaluation of pregnant patients who are suspected to have acute appendicitis and who pose a diagnostic dilemma.
- Magnetic reonance imaging
- Ruptured appendicitis
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
- Obstetrics and Gynecology