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Precipitous decline of gravid patient with congenital small bowel malrotation

Frank Scheuermeyer1

  • 1Department of Emergency Medicine, St Paul's Hospital, Vancouver, Canada BC V6Z 1Y6. frank.scheuermeyer@gmail.com

The American Journal of Emergency Medicine
|June 6, 2009
PubMed

Congenital small bowel malrotation is an uncommon cause of ischemic bowel. There are only a few case reports highlighting this condition in gravid patients. We report a 33-year-old primigravida at 27 weeks who presented to the emergency department with diffuse abdominal pain. Although initially stable, she experienced a rapid calamitous decline. On laparatomy she was diagnosed with congenital small bowel malrotation. Intraabdominal catastrophes must always be considered as a possible etiology of nonobstetrical abdominal pain in pregnant women.

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