Abdominopelvic Pain: A Prospective Study of 137 Patients

Abstract

Aim: This prospective study aims to evaluate the role of diffusionweighted magnetic resonance (DW-MR) imaging in patients presenting with acute abdominopelvic pain, who are decided a follow-up with conservative treatment after admission in the emergency department. Material and Method: A total of 137 consecutive patients with various causes of acute abdominopelvic pain were followed-up with DW-MR imaging to monitor the response to medical treatment after a primary diagnosis made by combination of DW-MR imaging and computed tomography (CT). Results: The demography of study population was as follows: mean age, 49.8; range, 19–84 years: 72 females, 65 males. For each follow-up DW-MR imaging review, the decision was made by three radiologists in consensus. All data regarding follow-up DW-MR imaging, clinical symptoms and laboratory results were documented. A total of 283 DW-MR scans were performed; 273 DW-MR scans were compatible with the clinical status, while 10 were disconcordant with the clinical status. 11 patients needed a CT scan and 16 patients underwent surgery. Conclusion: DW-MR imaging is a non-invasive and efficient technique that may be used with confidence to monitor patients with non-operated acute abdominopelvic pain during follow-up.

Amaç: Bu prospektif çalışmada, difüzyon ağırlıklı manyetik rezonans (DAG-MR) görüntülemenin akut abdominopelvik ağrı ile acil servise baş vuran ve konservatif tedavi ile takip kararı verilen olgulardaki rolünün araştırılması amaçlanmaktadır. Materyal ve Metot: Toplam 137 olguda DAG-MR ve bilgisayarlı tomografi (BT) kombinasyonu ile ilk tanı konulduktan sonra, takipte tedavi yanıtı DAG-MR ile değerlendirildi. Bulgular: Çalışma popülasyonu; ortalama yaş 49,8, yaş aralığı 19–84, 72 kadın ve 65 erkek şeklinde idi. Takipte toplamda 283 DAG-MR tetkiki yapıldı. Bunlardan 273 tanesi klinik bulgular ile uyumluyken, 10 tanesi uyumsuzdu. 11 olguda BT ihtiyacı olurken, 16 tanesi opere edildi. Sonuç: DAG-MR görüntüleme invazif olmayan, etkili bir yöntem olup akut abdominopelvik ağrılı olguların takibinde güvenli bir şekilde kullanılabilir.