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Related Experiment Video

Updated: Jun 21, 2026

External Cephalic Version: Is it an Effective and Safe Procedure?
08:49

External Cephalic Version: Is it an Effective and Safe Procedure?

Published on: June 6, 2020

Cecal volvulus in a multiple-gestation pregnancy.

Daniel M Chase1, Dorothy A Sparks, Murtaza Y Dawood

  • 1From the Department of Surgery, Western Reserve Care System/Northeast Ohio Universities College of Medicine, Youngstown, Ohio.

Obstetrics and Gynecology
|July 23, 2009
PubMed
Summary
This summary is machine-generated.

Intestinal obstruction in pregnancy, particularly cecal volvulus, is rare but serious. Early diagnosis and surgical intervention are crucial for favorable outcomes in these high-risk cases.

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Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology
  • Surgical Case Reports

Background:

  • Intestinal obstruction during pregnancy is uncommon, with volvulus accounting for approximately 25% of cases.
  • Pregnancy-associated volvulus presents diagnostic challenges due to symptom overlap with other conditions and avoidance of radiographic imaging.

Observation:

  • A 12-week twin gestation patient presented with abdominal pain and distension, initially misdiagnosed as ileus.
  • Surgical exploration via laparoscopy revealed cecal volvulus with ischemic changes, necessitating a right hemicolectomy with primary anastomosis.

Findings:

  • Cecal volvulus in pregnancy is associated with a high mortality rate.
  • Delayed diagnosis, often due to reluctance in using radiography, contributes to poor outcomes.

Implications:

  • Maintaining a high index of suspicion for volvulus in pregnant patients with obstructive symptoms is vital.
  • Diagnostic laparoscopy is a valuable tool for acute abdominal conditions in pregnancy when imaging is inconclusive or contraindicated.
  • Judicious use of abdominal radiography may be warranted to facilitate timely diagnosis of volvulus in pregnant patients.