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Complete small-bowel volvulus complicating the second trimester

J R Wax1, T L Christie

  • 1Department of Obstetrics and Gynecology, U.S. Naval Hospital, Portsmouth, Virginia.

Obstetrics and Gynecology
|October 1, 1993
PubMed
Summary
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Complete small-bowel volvulus in pregnancy is rare. This case highlights successful surgical detorsion in the second trimester, resolving obstruction symptoms.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Volvulus is a significant cause of intestinal obstruction during pregnancy.
  • Complete small-bowel volvulus is an infrequent complication, posing diagnostic and management challenges.

Observation:

  • A pregnant patient presented with anorexia, emesis, and abdominal distention at 24 weeks gestation.
  • Clinical presentation and imaging suggested complete small-bowel obstruction.
  • Laparotomy identified adhesive bands and a 360-degree small-bowel volvulus.

Findings:

  • Successful lysis of adhesive bands.
  • Reduction of a complete 360-degree small-bowel volvulus.
  • Resolution of obstructive symptoms following surgical intervention.

Related Experiment Videos

Implications:

  • This case demonstrates the feasibility and success of surgical detorsion for complete small-bowel volvulus during pregnancy.
  • Early diagnosis and surgical management are crucial for favorable maternal and fetal outcomes.
  • Highlights the importance of considering rare gastrointestinal emergencies in pregnant patients.