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Updated: Aug 18, 2026

Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
Small bowel obstruction in early pregnancy treated by jejunotomy and total parenteral nutrition
S Watanabe1, Y Otsubo, T Shinagawa
1Department of Obstetrics and Gynecology, Omiya Chuo Sogo Hospital, Saitama, Japan. syo-evo6@tc4.so-net.ne.jp
Background:
Small bowel obstruction in early pregnancy increases maternal and fetal morbidity and mortality and might be diagnosed mistakenly as hyperemesis gravidrum. Prompt diagnosis and therapy is essential.
Case:
A 29-year-old primigravida was admitted at 13 weeks' gestation with small bowel obstruction. After jejunotomy, total parenteral nutrition was given until oral intake was resumed completely 1 month after surgery. She was discharged with no complications and the rest of her pregnancy and delivery were uneventful.
Conclusion:
Small bowel obstruction in early pregnancy should be diagnosed expeditiously and can be treated with jejunotomy and total parenteral nutrition.
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