Cecal volvulus in pregnancy: report of a case and review of the safety and utility of medical diagnostic imaging in the assessment of the acute abdomen during pregnancy.
We report a case of a 38-year-old woman who presents at 31 weeks of gestation with acute abdominal pain. Computed tomography (CT) scan of the abdomen and pelvis showed a cecal volvulus. Emergency cesarean section was performed for fetal distress. Laparotomy confirmed the CT findings and a right hemicolectomy was performed. While not advocating overutilization, this case demonstrates that helical CT can be, in the correct clinical scenario, an acceptable, useful, and relatively noninvasive test in the accurate assessment of the acute abdomen in pregnancy. We review the safety and utility of medical diagnostic imaging in the assessment of the acute abdomen in pregnancy.
Hogan
Brian A
BA
Department of Radiology, St. Paul's Hospital, 1081 Burrard St, Vancouver, BC, Canada V6Z 1Y6. bhogie@eircom.net
Brown
Carl J
CJ
Brown
Jacqueline A
JA
D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D002429:Cecal Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D005260:Female; D006801:Humans; D045822:Intestinal Volvulus / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D014057:Tomography, X-Ray Computed