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Sonographic Findings in an Infarcted Sigmoid Appendix Epiploica During Pregnancy

Department of Radiology, University of Colorado, Health Sciences Center, Denver, Colorado

David Thickman, MD

Radiology Imaging Associates, PC, 3333 S. Bannock, Suite 600, Englewood, CO 80110-2659.

Stanley F. Gould, MD, PhD

Department of Obstetrics and Gynecology, Waltham Westin Hospital, Waltham, Massachusetts.

An infarcted sigmoid appendix epiploica in a pregnant patient with left lower quadrant pain was identified as a hypoechoic extrauterine mass on ultrasound examination. Ultrasound can help identify more common causes of pain in pregnancy, such as ectopic pregnancy, placental abruption, or degeneration of a leiomyoma. When these are excluded, rare causes of abdominal pain in the pregnant patient, including infarcted appendix epiploica, need to be considered.

Key Words: intestines • ischemia • mesentery ultrasound studies • gastrointestinal tract ultrasound studies • gastrointestinal tract abnormalities • pregnancy complications

Journal of Diagnostic Medical Sonography, Vol. 9, No. 2, 76-78 (1993)
DOI: 10.1177/875647939300900207


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