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Updated: May 6, 2026

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care
Published on: September 22, 2023
Imaging of acute abdomen in pregnancy
Ashish Khandelwal1, Najla Fasih, Ania Kielar
1Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA.
Abstract:
The approach to imaging in pregnancy is unique, as it is essential to minimize radiation exposure to the fetus. Ultrasonography and magnetic resonance imaging are the chief modalities for evaluation of the pregnant patient with abdominal pain. Use of computed tomography should not be delayed when there is a need for early diagnosis. This article discusses test selection and underlying reasoning, with a description of common imaging features of different causes of acute abdominal pain in pregnancy. Also discussed are current evidence-based recommendations for the use of iodinated and gadolinium-based contrast agents and the importance of patient counseling.
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