Type:
Educational Exhibit
Keywords:
Abdomen, Emergency, MR, MR-Cholangiography, Cholangiography, Acute, Infection, Inflammation
Authors:
M. F. P. Pereira, L. D. P. G. D. Farias, D. C. Menezes, R. H. Q. Ferreira, M. D. O. M. Hans, E. C. Raimundo, P. G. Santana, M. D. S. Guedes, M. V. Galon; São Paulo/BR
DOI:
10.26044/ecr2019/C-1658
Conclusion
MDCT and ultrasonography are the methods of choice in the initial assessment of patients with acute abdominal pain due to their accessibility and convenience.
Although MRI is typically reserved for pediatric populations,
pregnant patients and special cases,
it has gained increasing importance due to: being frequently diagnostic; non-use of ionizing radiation; ability to provide excellent tissue contrast; and it can be performed without the use of the contrast medium.
However,
MRI isn’t easily accessible due to its high cost and time to acquire images,
requiring patient cooperation,
which can be difficult in critically ill patients.
Abdominal pain presents a broad spectrum of diagnoses,
which encompasses multiple systems and organs,
and can,
therefore,
represent a challenge for the emergency physician.
As we can demonstrate in the present study,
MRI presents high sensitivity and reliability,
narrowing the differential diagnoses.