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[Intestinal obstruction and pregnancy]

P Dufour1, K Haentjens-Verbeke, D Vinatier

  • 1Service de Gynécologie-Obstétrique, Maternité du Pavillon Victor-Olivier, CHRU de Lille.

Journal De Gynecologie, Obstetrique Et Biologie De La Reproduction
|January 1, 1996
PubMed
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Bowel obstruction during pregnancy is rare. Prognosis for this condition depends on the obstruction

Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology
  • Surgical Gastroenterology

Background:

  • Pregnancy presents unique physiological challenges.
  • Bowel obstruction is a rare but serious complication during gestation.
  • Sigmoid volvulus on dolichomegacolon is a specific cause of intestinal obstruction.

Observation:

  • A 26-year-old patient at 38 weeks gestation presented with bowel occlusion.
  • The occlusion was attributed to sigmoid volvulus secondary to dolichomegacolon.
  • Diagnosis was confirmed through clinical presentation and coloscopy.

Findings:

  • The severity of the bowel occlusion, not its association with pregnancy, is the primary determinant of patient outcome.
  • Coloscopy provided definitive diagnostic evidence.

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Implications:

  • Early diagnosis and management of bowel obstruction in pregnancy are crucial.
  • Understanding the underlying cause (e.g., dolichomegacolon) is important for prognosis.
  • This case highlights the need for a multidisciplinary approach in managing rare obstetric emergencies.