Woman 33 yo in pregnancy. PARA 3003 # 24 weeks WITH pain in RLAQ 24 HOURS AGO
REFERENCE : CASE 548, APPENDICITIS IN PREGNANCY (MEDIC ULTRASOUND CASE 548 PUB 01 MAY-2019)
OBSTETRIC ULTRASOUND PROVED NORMAL PREGNANCY IN 24WKS WITHOUT UTERUS CONTRACTION IN TOCOMETRY (PHOTO TOCO).
EMERGENCY ULTRASOUND DETECTED APPENDIX IN BIG LUMEN DUE TO DILATATION (US 1, US 2, US 3).
BLOOD TESTS: WBC RISED 9.8K NEUTRO 40%, CRP 56..
MRI WITHOUT GADO DETECTED BIG LUMEN DILATED APPENDIX (MRI 1, MRI 2, MRI 3).
ENDOSCOPIC OPERATION REMOVED ACUTE APPENDICITIS.
SUMMARY = ACUTE APPENDICITIS IN PREGNANCY IS DIFFICULT DIAGNOSTIC, US AND MRI CONTRIBUTING DIAGNOSTIC IN DIFFICULT CASE.
REFERENCE : CASE 548, APPENDICITIS IN PREGNANCY (MEDIC ULTRASOUND CASE 548 PUB 01 MAY-2019)