Pregnant patients suspected of having acute appendicitis: Effect of MR imaging on negative laparotomy rate and appendiceal perforation rate

Radiology

Volumn 250, Issue 3, 2009, Pages 749-757

  Pedrosa, Ivan ^a   Lafornara, Michelle ^a   Pandharipande, Pari V ^b   Goldsmith, Jeffrey D ^a   Rofsky, Neil M ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

^b MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE APPENDICITIS; ADOLESCENT; ADULT; APPENDIX PERFORATION; ARTICLE; CLINICAL ASSESSMENT; CLINICAL PROTOCOL; COMPUTER ASSISTED TOMOGRAPHY; FALSE POSITIVE RESULT; FEMALE; GESTATIONAL AGE; HUMAN; INSTITUTIONAL REVIEW; LAPAROTOMY; MAJOR CLINICAL STUDY; NUCLEAR MAGNETIC RESONANCE IMAGING; PREGNANT WOMAN; PRIORITY JOURNAL; RETROSPECTIVE STUDY; ULTRASOUND;

ADOLESCENT; ADULT; APPENDICITIS; BOSTON; COMORBIDITY; FEMALE; HUMANS; LAPAROTOMY; MAGNETIC RESONANCE IMAGING; POSTOPERATIVE COMPLICATIONS; PREGNANCY; PREGNANCY COMPLICATIONS; PROGNOSIS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS; TREATMENT OUTCOME; WOUNDS, PENETRATING; YOUNG ADULT;

EID: 62649132931     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.2503081078     Document Type: Article

References (49)

1. Mayer IE, Hussain H. Abdominal pain during pregnancy. Gastroenterol Clin North Am 1998;27:1-36.
2. Hee P, Viktrup L. The diagnosis of appendicitis during pregnancy and maternal and fetal outcome after appendectomy. Int J Gynaecol Obstet 1999;65:129-135.
3. Mourad J, Elliott JP, Erickson L, Lisboa L. Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs. Am J Obstet Gynecol 2000;182:1027-1029.
4. Bailey LE, Finley RK Jr, Miller SF, Jones LM. Acute appendicitis during pregnancy. Am Surg 1986;52:218-221.
5. Andersen B, Nielsen TF. Appendicitis in pregnancy: diagnosis, management and complications. Acta Obstet Gynecol Scand 1999;78:758-762.
6. Velanovich V, Satava R. Balancing the normal appendectomy rate with the perforated appendicitis rate: implications for quality assurance. Am Surg 1992;58:264-269.
7. Berry J Jr, Malt RA. Appendicitis near its centenary. Ann Surg 1984;200:567-575.
8. Balthazar EJ, Rofsky NM, Zucker R. Appendicitis: the impact of computed tomography imaging on negative appendectomy and perforation rates. Am J Gastroenterol 1998;93:768-771.
9. Bendeck SE, Nino-Murcia M, Berry GJ, Jeffrey RB Jr. Imaging for suspected appendicitis: negative appendectomy and perforation rates. Radiology 2002;225:131-136.
10. Togawa A, Kimura F, Chiku T, Sano W, Tashiro T, Miyazaki M. Simple way to improve accuracy in diagnosis of quadrant inflammatory disease: how to avoid adverse laparotomy by using plain CT. Hepatogastroenterology 2005;52:135-138.
11. Wallace CA, Petrov MS, Soybel DI, Ferzoco SJ, Ashley SW, Tavakkolizadeh A. Influence of imaging on the negative appendectomy rate in pregnancy. J Gastrointest Surg 2008;12:46-50.
12. Tracey M, Fletcher HS. Appendicitis in pregnancy. Am Surg 2000;66:555-559.
13. Lim HK, Bae SH, Seo GS. Diagnosis of acute appendicitis in pregnant women: value of sonography. AJR Am J Roentgenol 1992;159:539-542.
14. Birnbaum BA, Wilson SR. Appendicitis at the millennium. Radiology 2000;215:337-348.
15. Jeffrey RB Jr, Laing FC, Townsend RR. Acute appendicitis: sonographic criteria based on 250 cases. Radiology 1988;167:327-329.
16. Puylaert JB, Rutgers PH, Lalisang RI, et al. A prospective study of ultrasonography in the diagnosis of appendicitis. N Engl J Med 1987;317:666-669.
17. Ralls PW, Balfe DM, Bree RL, et al. Evaluation of acute right lower quadrant pain: American College of Radiology-ACR appropriateness criteria. Radiology 2000;215 (suppl):159-166.
18. Lazarus E, Mayo-Smith WW, Mainiero MB, Spencer PK. CT in the evaluation of nontraumatic abdominal pain in pregnant women. Radiology 2007;244:784-790.
19. Cobben LP, Groot I, Haans L, Blickman JG, Puylaert J. MRI for clinically suspected appendicitis during pregnancy. AJR Am J Roentgenol 2004;183:671-675.
20. Oto A, Ernst RD, Shah R, et al. Right-lower-quadrant pain and suspected appendicitis in pregnant women: evaluation with MR imaging-initial experience. Radiology 2005;234:445-451.
21. Pedrosa I, Levine D, Eyvazzadeh AD, Siewert B, Ngo L, Rofsky NM. MR imaging evaluation of acute appendicitis in pregnancy. Radiology 2006;238:891-899.
22. Puylaert JB. Acute appendicitis: US evaluation using graded compression. Radiology 1986;158:355-360.
23. Pedrosa I, Zeikus EA, Levine D, Rofsky NM. MR imaging of acute right lower quadrant pain in pregnant and nonpregnant patients. RadioGraphics 2007;27:721-743.
24. Gwynn LK. Appendiceal enlargement as a criterion for clinical diagnosis of acute appendicitis: is it reliable and valid? J Emerg Med 2002;23:9-14.
25. Daly CP, Cohan RH, Francis IR, Caoili EM, Ellis JH, Nan B. Incidence of acute appendicitis in patients with equivocal CT findings. AJR Am J Roentgenol 2005;184:1813-1820.
26. Ganguli S, Raptopoulos V, Komlos F, Siewert B, Kruskal JB. Right lower quadrant pain: value of the nonvisualized appendix in patients at multidetector CT. Radiology 2006;241:175-180.
27. Nikolaidis P, Hwang CM, Miller FH, Papanicolaou N. The nonvisualized appendix: incidence of acute appendicitis when secondary inflammatory changes are absent. AJR Am J Roentgenol 2004;183:889-892.
28. McGory ML, Zingmond DS, Tillou A, Hiatt JR, Ko CY, Cryer HM. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg 2007;205:534-540.
29. Flum DR, Morris A, Koepsell T, Dellinger EP. Has misdiagnosis of appendicitis decreased over time? a population-based analysis. JAMA 2001;286:1748-1753.
30. in't Hof KH, van Lankeren W, Krestin GP, et al. Surgical validation of unenhanced helical computed tomography in acute appendicitis. Br J Surg 2004;91:1641-1645.
31. Antevil J, Rivera L, Langenberg B, Brown CV. The influence of age and gender on the utility of computed tomography to diagnose acute appendicitis. Am Surg 2004;70:850-853.
32. Brenner DJ, Hall EJ. Computed tomography: an increasing source of radiation exposure. N Engl J Med 2007;357:2277-2284.
33. Hurwitz LM, Yoshizumi T, Reiman RE, et al. Radiation dose to the fetus from body MDCT during early gestation. AJR Am J Roentgenol 2006;186:871-876.
34. McCollough CH, Schueler BA, Atwell TD, et al. Radiation exposure and pregnancy: when should we be concerned? RadioGraphics 2007;27:909-917.
35. ACOG Committee on Obstetric Practice. ACOG Committee opinion: number 299, September 2004 (replaces no. 158, September 1995)-guidelines for diagnostic imaging during pregnancy. Obstet Gynecol 2004;104:647-651.
36. Barloon TJ, Brown BP, Abu-Yousef MM, Warnock N, Berbaum KS. Sonography of acute appendicitis in pregnancy. Abdom Imaging 1995;20:149-151.
37. Kessler N, Cyteval C, Gallix B, et al. Appendicitis: evaluation of sensitivity, specificity, and predictive values of US, Doppler US, and laboratory findings. Radiology 2004;230:472-478.
38. Johansson EP, Rydh A, Riklund KA. Ultrasound, computed tomography, and laboratory findings in the diagnosis of appendicitis. Acta Radiol 2007;48:267-273.
39. Oto A, Srinivasan PN, Ernst RD, et al. Revisiting MRI for appendix location during pregnancy. AJR Am J Roentgenol 2006;186:883-887.
40. Balthazar EJ, Megibow AJ, Siegel SE, Birnbaum BA. Appendicitis: prospective evaluation with high-resolution CT. Radiology 1991;180:21-24.
41. Bickell NA, Aufses AH Jr, Rojas M, Bodian C. How time affects the risk of rupture in appendicitis. J Am Coll Surg 2006;202:401-406.
42. Lee SL, Walsh AJ, Ho HS. Computed tomography and ultrasonography do not improve and may delay the diagnosis and treatment of acute appendicitis. Arch Surg 2001;136:556-562.
43. Riesenman PJ, Riesenman KP, Stone TJ, Beidler SK, Douillet CD, Rich PB. Nonfocused enhanced CT evaluation of acute appendicitis increases length of stay in the emergency department but does not increase perforation rate. Am Surg 2008;74:488-492.
44. Birchard KR, Brown MA, Hyslop WB, Firat Z, Semelka RC. MRI of acute abdominal and pelvic pain in pregnant patients. AJR Am J Roentgenol 2005;184:452-458.
45. Oto A, Ernst RD, Ghulmiyyah LM, et al. MR imaging in the triage of pregnant patients with acute abdominal and pelvic pain. Abdom Imaging doi:10.1007/s00261-008-9381-y. Published online March 11, 2008. Accessed August 11, 2008.
46. Israel GM, Malguria N, McCarthy S, Copel J, Weinreb J. MRI vs ultrasound for suspected appendicitis during pregnancy. J Magn Reson Imaging 2008;28:428-433.
47. Kanal E. Pregnancy and the safety of magnetic resonance imaging. Magn Reson Imaging Clin N Am 1994;2:309-317.
48. De Wilde JP, Rivers AW, Price DL. A review of the current use of magnetic resonance imaging in pregnancy and safety implications for the fetus. Prog Biophys Mol Biol 2005;87:335-353.
49. Levine D, Zuo C, Faro CB, Chen Q. Potential heating effect in the gravid uterus during MR HASTE imaging. J Magn Reson Imaging 2001;13:856-861.