{"pk":8306,"title":"Appendicitis During Pregnancy with a Normal MRI","subtitle":null,"abstract":"Abdominal pain frequently represents a diagnostic challenge in the acute setting. In pregnant patients, the gravid abdomen and concern for ionizing radiation exposure further limit evaluation. If undiagnosed, appendicitis may cause disastrous consequences for the mother and fetus. We present the case of a pregnant female who was admitted for right lower quadrant abdominal pain. Advanced imaging of the abdomen and pelvis was interpreted to be either indeterminate or normal and a diagnosis of acute appendicitis was made on purely clinical grounds. This patient’s management and a literature review of diagnostic techniques for acute appendicitis during pregnancy are discussed. [West J Emerg Med. 2014;15(6):-0]","language":"en","license":{"name":"Creative Commons Attribution-NonCommercial  4.0","short_name":"CC BY-NC 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by-nc/4.0"},"keywords":[{"word":"MRI"},{"word":"pregnancy"},{"word":"False negative"},{"word":"appendicits"}],"section":"Diagnostic Acumen","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3xx6z8wv","frozenauthors":[{"first_name":"Matthew","middle_name":"M.","last_name":"Thompson","name_suffix":"","institution":"Naval Medical Center, Emergency Department, San Diego, California","department":"None"},{"first_name":"Alexei","middle_name":"","last_name":"Kudla","name_suffix":"","institution":"Naval Medical Center, Emergency Department, San Diego, California","department":"None"},{"first_name":"Chris","middle_name":"B.","last_name":"Chisholm","name_suffix":"","institution":"Naval Medical Center, Emergency Department, San Diego, California","department":"None"}],"date_submitted":"2014-07-02T03:47:14Z","date_accepted":"2014-07-02T03:47:14Z","date_published":"2014-08-14T20:19:49Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/8306/galley/4752/download/"}]}