caa a22 4500 47707958X CHVBK 20180405111446.0 cr unu---uuuuu 170330e19960501xx s 000 0 eng 10.1007/BF02440031 doi (NATIONALLICENCE)springer-10.1007/BF02440031 Pregnancy and abdominal pain: Value of ultrasound in diagnosis [Elektronische Daten] [Vivian Miller, Bret Coughlin] Ultrasound is noninvasive, safe, and versatile. It seems an ideal imaging modality in the pregnant patient, in whom ionizing radiation must be kept to a minimum, yet accurate imaging is important in directing treatment. The objective of our study was to investigate the value of ultrasound as a first-line imaging modality in pregnant women with abdominal pain. We prospectively studied 41 consecutive pregnant patients with abdominal pain over a 1-year period. The setting was a busy private practice in a large teaching hospital with both a primary and tertiary care referral base. Diagnoses were categorized into urologic, biliary, bowel, and obstetric/gynecologic pathology. There were 23 positive diagnoses of the 41 patients in the series, encompassing 13 cases of urinary pathology (calculi, pyelonephritis, and overdistention syndrome), 2 cases of bowel pathology (appendicitis and Crohn's disease), 6 cases of biliary disease (gallstones and a case of choledocholithiasis), and 2 cases of obstetric/gynecologic pathology (threatened abortion and corpus luteum cyst). Ultrasound correctly diagnosed 18 of these 23 cases. The remaining 5 false-negatives were 3 cases of urinary calculi, 1 case of appendicitis, and 1 case of choledocholithiasis. There were 18 true-negative and no false-positives. The sensitivity of ultrasound in our series was 78%, specificity was 100%, and overall accuracy was 88%. Although there are limited numbers of specific diagnoses, we think that our patient population as a whole represents some of the more commonly evaluated complications in pregnancy. We conclude that sonography is a valuable first-line imaging modality in diagnosis of the pregnant patient with pain. American Society of Emergency Radiology, 1996 Pregnancy nationallicence Pain nationallicence Ultrasound nationallicence Calculi nationallicence Obstruction nationallicence Miller Vivian Department of Diagnostic Radiology, Division of Ultrasound, Baystate Medical Center, 759 Chestnut Street, 01199, Springfield, Massachusetts aut Coughlin Bret Department of Diagnostic Radiology, Division of Ultrasound, Baystate Medical Center, 759 Chestnut Street, 01199, Springfield, Massachusetts aut Emergency Radiology Springer-Verlag 3/3(1996-05-01), 118-126 1070-3004 3:3<118 1996 3 10140 https://doi.org/10.1007/BF02440031 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02440031 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Miller Vivian Department of Diagnostic Radiology, Division of Ultrasound, Baystate Medical Center, 759 Chestnut Street, 01199, Springfield, Massachusetts aut NATIONALLICENCE 700 1- Coughlin Bret Department of Diagnostic Radiology, Division of Ultrasound, Baystate Medical Center, 759 Chestnut Street, 01199, Springfield, Massachusetts aut NATIONALLICENCE 773 0- Emergency Radiology Springer-Verlag 3/3(1996-05-01), 118-126 1070-3004 3:3<118 1996 3 10140 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer