Journal of the Chinese Medical Association
Volume 70, Issue 8 , Pages 345-347, August 2007

Magnetic Resonance Imaging as a Diagnostic Tool in Pregnancy with Appendiceal Abscess

  • Ming-Jie Yang

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr Ming-Jie Yang, Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Road, Taipei 112, Taiwan, R.O.C.
  • ,
  • Jen-Yu Tseng
  • ,
  • Wei-Lun Hsu

Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, and National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

Received 8 August 2006; accepted 13 June 2007.

Abdominal pain presenting itself during pregnancy may be multifactorial, requiring immediate attention and care. In cases of intractable pain without obstetrical condition, surgical abdominal exploration is widely advised. However, we present a case where a 30-year-old, gravida 1, para 0, female complained of persistent right abdominal pain during her 25th week of pregnancy. Ultrasound revealed a right upper quadrant cystic mass and magnetic resonance imaging was arranged with compatible findings. Final impression of appendiceal abscess was determined. Broad-spectrum antibiotics were administered and the patient was discharged in stable condition after 10 days of conservative treatment. She delivered a healthy baby boy at her 40th week of gestation uneventfully.

Key words:  acute appendicitis , appendiceal abscess , MRI , pregnancy , ultrasonography

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PII: S1726-4901(08)70016-9

doi:10.1016/S1726-4901(08)70016-9

Journal of the Chinese Medical Association
Volume 70, Issue 8 , Pages 345-347, August 2007