A variety of pathological processes can be the cause of abdominopelvic pain during pregnancy, such as acute appendicitis, acute cholecystitis, hepatic adenoma, spontaneous adrenal hemorrhage, ovarian mature cystic teratoma, ectopic pregnancy, cystic degeneration of an intramural fibroid, and the placenta accreta spectrum. Standard MRI protocols without gadolinium contrast are discussed, as well as protocols for fluid sensitive sequences with and without fat suppression, T1-weighted sequences, and thin slice sequences. These MR imaging techniques are valuable in determining an accurate diagnosis and subsequent management plan for the mother and fetus.
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