Abstract
Background: Volvulus is the second most common cause of intestinal obstruction in pregnancy. Rarely is the small bowel involved, and even less frequently is the volvulus complete. Case: The patient was referred at 24 weeks and 4 days' gestation for persistent anorexia, emesis, and abdominal distention. History, physical examination, and abdominal radiographs were consistent with a complete small-bowel obstruction. Laparotomy revealed two adhesive bands, which were lysed, and a 360° volvulus of the small bowel about its mesentery, which was successfully reduced. Conclusion: This patient represents a case of complete small-bowel volvulus successfully treated in the second trimester by detorsion.(Obstet Gynecol 1993;82:689-91)
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