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Related Experiment Videos

Case report: small bowel volvulus presenting during pregnancy.

A J Liddicoat1, D C Lloyd

  • 1Department of Diagnostic Radiology, Llandough Hospital, South Glamorgan.

Clinical Radiology
|October 1, 1992
PubMed
Summary

Diagnosing severe vomiting in late pregnancy is crucial. Avoiding radiation for fetal safety may delay identifying conditions like maternal small bowel volvulus, posing risks.

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Area of Science:

  • Medical Imaging
  • Obstetrics
  • Gastroenterology

Background:

  • Diagnostic imaging using ionizing radiation poses risks to the fetus.
  • Severe or persistent vomiting after the first trimester of pregnancy warrants investigation.
  • Reluctance to use radiation may delay diagnosis in pregnant patients.

Purpose of the Study:

  • To highlight a case of maternal small bowel volvulus diagnosed late due to concerns about fetal radiation exposure.
  • To discuss the diagnostic challenges in late pregnancy when imaging is required.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation and diagnostic considerations.

Main Results:

  • A pregnant patient presented with severe vomiting in the third trimester.
  • Diagnosis of maternal small bowel volvulus was delayed due to concerns regarding ionizing radiation.
  • Timely diagnosis and intervention are critical for maternal and fetal outcomes.

Conclusions:

  • While minimizing radiation exposure during pregnancy is essential, diagnostic delays can be detrimental.
  • Clinical suspicion and appropriate investigation are vital for managing unusual presentations in late pregnancy.
  • Balancing fetal safety with the need for maternal diagnosis is a critical clinical decision.

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