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Small bowel obstruction in pregnancy.

Anke Redlich¹, Steffen Rickes, Serban-Dan Costa

¹University Women's Clinic, Otto-von-Guericke University, Gerhart-Hauptmann-Strasse 35, 39108 Magdeburg, Germany. Serban-Dan.Costa@Medizin.Uni-Magdeburg.DE

Archives of Gynecology and Obstetrics

|October 19, 2006

Summary

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Intestinal obstruction during pregnancy is rare but serious. Early diagnosis and surgical intervention are crucial to prevent complications like peritonitis and premature delivery in pregnant patients.

Area of Science:

Obstetrics and Gynecology
Surgical Gastroenterology

Background:

Intestinal obstruction in pregnancy presents diagnostic challenges due to nonspecific symptoms.
Delayed diagnosis of intestinal obstruction in pregnancy increases fetal and maternal mortality risks.

Observation:

A 31-year-old primigravida with prior abdominal surgery presented with abdominal pain and distension.
Ultrasound revealed dilated small bowel loops, leading to exploratory laparotomy.
A small bowel obstruction caused by adhesions was identified, necessitating a jejuno-jejunostomy.

Findings:

Despite prompt surgical treatment, the patient developed peritonitis post-obstruction repair.
A secondary laparotomy and cesarean section were required due to complications.

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Implications:

High clinical suspicion is vital for timely diagnosis of intestinal obstruction in pregnant women.
Consider small bowel obstruction in the differential diagnosis for pregnant patients with a history of abdominal surgery.
Even with prompt intervention, intestinal obstruction in pregnancy can lead to severe maternal and fetal complications, including premature delivery.