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Related Experiment Videos

Intestinal obstruction complicating pregnancy.

P W Perdue1, H W Johnson, P W Stafford

  • 1Department of General Surgery, National Naval Medical Center, Bethesda, Maryland 20889.

American Journal of Surgery
|October 11, 1992
PubMed
Summary
This summary is machine-generated.

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Intestinal obstruction during pregnancy is rare but serious, causing significant maternal and fetal risks. Early diagnosis and surgical intervention are crucial to reduce complications and mortality.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology
  • Maternal-Fetal Medicine

Background:

  • Intestinal obstruction is a rare but severe complication of pregnancy.
  • Incidence varies widely, from 1 in 66,431 to 1 in 1,500 deliveries.
  • Associated with significant maternal and fetal mortality.

Purpose of the Study:

  • To review cases of intestinal obstruction complicating pregnancy and the puerperium.
  • To identify common causes, clinical presentation, and management outcomes.
  • To emphasize the risks and need for prompt intervention.

Main Methods:

  • Retrospective review of 66 cases of intestinal obstruction during pregnancy and puerperium.
  • Analysis of causes, symptoms, diagnostic methods, and treatment outcomes.

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  • Inclusion of 2 cases from the authors' institution.

    • Main Results:

    • Adhesions (58%), volvulus (24%), and intussusception (5%) were the most common causes.
    • Symptoms included abdominal pain (98%), vomiting (82%), and tenderness (71%).
    • Radiographic evaluation confirmed obstruction in 82%; median time to laparotomy was 48 hours; 23% required bowel resection; maternal mortality was 6%, fetal mortality 26%.

    Conclusions:

    • Intestinal obstruction poses substantial risks to both mother and fetus during pregnancy.
    • Clinical suspicion and aggressive surgical management are essential.
    • Prompt intervention is key to decreasing morbidity and mortality.