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Caecal volvulus in pregnancy: is delay in diagnosis avoidable?
Sham Lal Singla1, Yogender Singh Kadian, Ashish Goyal
1Department of General Surgery, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, 321 Housing Road, Rohtak 124001, Haryana, India. doctorumeshsharma@rediffmail.com
Asian Journal of Surgery
|February 5, 2005
Summary
Intestinal volvulus, a cause of bowel obstruction in pregnancy, is often diagnosed late. Early diagnosis and treatment of cecal volvulus in pregnant patients are crucial for better outcomes.
Area of Science:
- Gastroenterology
- Obstetrics & Gynecology
- Surgical Case Reports
Background:
- Intestinal volvulus is a significant cause of bowel obstruction during pregnancy.
- Delayed diagnosis is common due to limited awareness and concerns regarding radiation exposure from abdominal X-rays in pregnant patients.
Observation:
- This report details two cases of cecal volvulus occurring during pregnancy.
- Both cases highlight the diagnostic challenges and the importance of timely intervention.
Findings:
- Cecal volvulus presents a diagnostic challenge in pregnancy, often leading to delays.
- Prompt recognition and surgical management are essential for resolving the obstruction.
Implications:
- Emphasizes the need for increased clinical suspicion and awareness of intestinal volvulus in pregnant patients presenting with abdominal symptoms.
- Highlights the importance of appropriate imaging and early surgical consultation to improve patient outcomes and reduce maternal morbidity.