What are the advantages of MRI in the workup of small-bowel obstruction (SBO) in pregnancy?

Updated: Apr 28, 2017
  • Author: Mityanand Ramnarine, MD, FACEP; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Answer

In a retrospective study (2005-2015) of 12 prenatally diagnosed cases of SBO evaluated by both ultrasonography and MRI, Rubio et al noted that MRI was useful in providing the following information [25] :

  • The distribution of meconium in the small bowel, clarifying the level of obstruction
  • Abnormally diminished meconium in the rectum, suggestive of cystic fibrosis or combined SBO and colonic obstruction (which may be useful in family counseling and postnal care preparation)
  • The evaluation of colon and rectal contents, serving as a fetal enema

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