E³ 218 - Pregnancy and postpartum abdominal acute conditions

Learning Objectives

1. To briefly describe the role of CT, MRI, and US in the detection of acute abdominal conditions during pregnancy, and radiation dose effect on the foetus (radiation dose, use of contrast agents, suggested protocol, and teratogenicity).
2. To review the imaging findings of abdominal non-pregnancy related complications such as appendicitis, urolithiasis, hepatobilliary conditions (fatty liver of pregnancy, cholestasis in pregnancy, HELLP syndrome), intestinal obstruction, and vascular related complications (ovarian vein thrombosis, splenic artery aneurysm rupture).
3. To review the imaging findings of abdominal pregnancy related complications such as ectopic pregnancy, molar pregnancy, placental abruption, adnexal torsion, and pelvic inflammatory disease.

Learning Objectives

1. To become familiar with the normal postpartum appearances on US, CT, and MRI, both immediately and up to 6 weeks postpartum.
2. To review imaging of common postpartum period conditions such as causes of postpartum haemorrhage, retaining products of conception, puerperal septic thrombophlebitis, and other infective/inflammatory puerperal conditions.
3. To discuss protocols for breastfeeding and expressing of breast milk in relation to CT and MRI imaging.

Learning Objectives

1. To describe the pathophysiology and risk factors for postpartum haemorrhage.
2. To briefly review the vascular imaging features that are relevant for planning or verifying transcatheter embolisation of obstetric and gynaecologic conditions.
3. To describe the planning and logistic to treat acute obstetric and postpartum.
4. To describe the interventional radiology procedures that are used to treat postpartum haemorrhage, such as uterine artery embolisation (UAE) for cases of post-partum haemorrhage.