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Imaging of Late Obstetrical and Post-partum Emergencies

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Emergency Imaging of Pregnant Patients

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Abstract

The pregnant and post-partum patient introduces several diagnostic and imaging challenges. Choice of imaging modality is altered in order to reduce ionizing radiation to the fetus and to radiation-sensitive breast tissue. Even when using magnetic resonance imaging, the relative contraindication to the administration of intravenous gadolinium-based contrast agents in the pregnant patient also limits diagnostic accuracy and confidence. Furthermore, the relative inexperience of many radiologists in imaging the placenta, and the anatomic distortion of the gravid and post-partum uterus, makes evaluation of these patients difficult. Many of these emergencies and urgencies are unique to the pregnant or post-partum patient, and the radiologist must consider a wide range of pathologies. In this review, we present the imaging appearance of late obstetrical and post-partum emergencies and urgencies.

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Authors and Affiliations

  1. Advanced Radiology Consultants, Leawood, KS, USA

    Richard Tsai

  2. Department of Maternal Fetal Medicine, Southern Illinois University, School of Medicine, Springfield, IL, USA

    Kristina Sondgeroth

  3. Mallinckrodt Institute of Radiology, Washington University School of Medicine in St. Louis, Saint Louis, MO, USA

    Daniel R. Ludwig & Vincent M. Mellnick

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  1. Richard Tsai
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  2. Kristina Sondgeroth
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  3. Daniel R. Ludwig
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  4. Vincent M. Mellnick
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Editors and Affiliations

  1. Hamilton General Hospital, McMaster University, Hamilton, ON, Canada

    Michael N. Patlas

  2. Department of Radiology, NYU Winthrop Hospital, Mineola, NY, USA

    Douglas S. Katz

  3. Department of Radiology, Pineta Grande Hospital, Castel Volturno, Italy

    Mariano Scaglione

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Tsai, R., Sondgeroth, K., Ludwig, D.R., Mellnick, V.M. (2020). Imaging of Late Obstetrical and Post-partum Emergencies. In: Patlas, M., Katz, D., Scaglione, M. (eds) Emergency Imaging of Pregnant Patients. Springer, Cham. https://doi.org/10.1007/978-3-030-42722-1_9

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