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Intestinal malrotation during pregnancy

R D Rothstein1, J L Rombeau

  • 1Department of Medicine, University of Pennsylvania, Philadelphia.

Obstetrics and Gynecology
|May 1, 1993
PubMed
Summary
This summary is machine-generated.

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Intestinal malrotation, a rare condition, can cause pregnancy complications. Conservative management followed by postpartum surgery can be effective for adult intestinal malrotation during pregnancy.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Obstetrics

Background:

  • Intestinal malrotation is a congenital anomaly typically diagnosed in infancy.
  • Adult presentation is uncommon, and pregnancy-related symptoms are rare.

Observation:

  • A pregnant woman with a history of abdominal pain and constipation experienced worsening symptoms during her second trimester.
  • Conservative management was initiated, leading to a successful full-term delivery.
  • Postpartum diagnosis revealed midgut malrotation, treated surgically with division of obstructive bands and fixation of the colon.

Findings:

  • Pregnancy can unmask or exacerbate symptoms of intestinal malrotation.
  • Nonspecific gastrointestinal symptoms during pregnancy may indicate underlying malrotation.

Related Experiment Videos

  • Surgical correction in the postpartum period is a viable option for symptomatic malrotation.

    • Implications:

    • Early recognition and conservative management are crucial for pregnant patients with suspected malrotation.
    • Delayed surgical intervention in the postpartum period can effectively resolve complications.
    • This case highlights the importance of considering intestinal malrotation in pregnant adults with chronic or acute abdominal symptoms.