Fever and right upper quadrant pain in a pregnant woman at 30 week's gestation

Laura E. H. Raffals, David T. Rubin, Stephen B. Hanauer

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: A 34-year-old gravid woman with a history of ileal Crohn's disease presented at 30 weeks' gestation with a 2-week history of fever and right upper quadrant pain. An intra-abdominal abscess was suspected. Ultrasound and MRI failed to demonstrate the suspected abscess. Owing to ongoing pain and fever, the risk to the fetus of a CT scan were discussed with the patient, obstetricians and radiologists, with considerable debate about the possibility of other explanations for her symptoms. Ultimately, a CT scan revealed marked thickening of the distal ileum and confirmed diagnosis of an abscess in continuity with the inflamed bowel. Investigations: Ultrasound, MRI, CT scan, urinalysis, urine culture and liver function tests. Diagnosis: Crohn's disease flare complicated by an intra-abdominal abscess. Management: Antibiotics (ceftizoxime, metronidazole and amoxicillin/clavulanate potassium), parenteral nutrition and ileocecectomy.

Original languageEnglish (US)
Pages (from-to)113-116
Number of pages4
JournalNature Clinical Practice Gastroenterology and Hepatology
Volume1
Issue number2
DOIs
StatePublished - Dec 1 2004
Externally publishedYes

Fingerprint

Abdominal Abscess
Crohn Disease
Abscess
Pregnant Women
Fever
Ileal Diseases
Ceftizoxime
Pain
Pregnancy
Clavulanic Acid
Urinalysis
Liver Function Tests
Parenteral Nutrition
Amoxicillin
Metronidazole
Ileum
Fetus
Magnetic Resonance Imaging
Urine
Anti-Bacterial Agents

Keywords

  • Crohn's disease
  • CT scan
  • Intra-abdominal abscess
  • Pregnancy
  • Radiation

ASJC Scopus subject areas

  • Medicine(all)
  • Hepatology
  • Gastroenterology

Cite this

Fever and right upper quadrant pain in a pregnant woman at 30 week's gestation. / Raffals, Laura E. H.; Rubin, David T.; Hanauer, Stephen B.

In: Nature Clinical Practice Gastroenterology and Hepatology, Vol. 1, No. 2, 01.12.2004, p. 113-116.

Research output: Contribution to journalArticle

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