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Spontaneous Cecal Perforation During Pregnancy
Abdalhai Alshoubi1, Melissa Kim2, William Hauter3
1Anesthesiology and Critical Care, OSF St. Francis Hospital, Peoria, USA.
Cureus
|April 10, 2024
Summary
Spontaneous cecal perforation in pregnancy is rare but life-threatening. Prompt surgical repair led to a successful delivery of a healthy baby.
Area of Science:
- Gastroenterology
- Obstetrics & Gynecology
- Surgical Case Report
Background:
- Spontaneous colon perforation, a rare condition, is classified as stercoral or idiopathic.
- Cecal perforation during pregnancy is uncommon and poses significant risks, necessitating urgent diagnosis and surgical management.
Observation:
- A 33-year-old pregnant woman at 29 weeks' gestation presented with acute abdominal pain and distention.
- Clinical evaluation and imaging revealed diffuse peritonitis secondary to spontaneous cecal perforation.
Findings:
- An emergent explorative laparotomy identified a 1.2 x 0.8 cm perforation in the cecum.
- Surgical repair involved excision and primary suture of the perforation with an omental patch.
Implications:
- This case underscores the critical need to consider rare causes of acute abdominal pain in pregnant patients.
- Timely diagnosis and surgical intervention are crucial for favorable maternal and fetal outcomes in spontaneous cecal perforation during pregnancy.
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