Abstract
The diagnosis of intestinal obstruction in pregnancy is difficult, as the symptoms may mimic pregnancy-associated complaints. The surgical management is challenging, as the mortality rate of midgut volvulus in pregnancy is high. We report the case of a 35-year-old woman at 21 weeks and 5 days of gestation with small bowel obstruction who presented to our institution with a 24 h history of colicky abdominal pain and nausea and who finally had a successful open repair.
Highlights
Volvulus is the second most common cause of intestinal obstruction in pregnancy, occurring in up to 25% of the cases as compared to only 3–5% in nonpregnant women
The abdominal distention due to uterine enlargement and the displacement of the viscera from the gravid uterus may alter the typical signs of the acute abdomen
We report the case of a 35-year-old woman at 21 weeks and 5 days of gestation with small bowel obstruction who presented to our institution with a 24 h history of colicky abdominal pain located at the epigastrium and nausea and who had a successful open repair
Summary
Volvulus is the second most common cause of intestinal obstruction in pregnancy, occurring in up to 25% of the cases as compared to only 3–5% in nonpregnant women. The diagnosis of intestinal obstruction in pregnancy is difficult, as the symptoms may mimic pregnancy-associated complaints. The abdominal distention due to uterine enlargement and the displacement of the viscera from the gravid uterus may alter the typical signs of the acute abdomen. The surgical management is challenging, as the mortality rate of midgut volvulus in pregnancy is high. We report the case of a 35-year-old woman at 21 weeks and 5 days of gestation with small bowel obstruction who presented to our institution with a 24 h history of colicky abdominal pain located at the epigastrium and nausea and who had a successful open repair
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