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Related Experiment Videos

[Transverse presentation due to coprostasis]

J I de Vries1, R J Felt-Bersma

  • 1Afd. Verloskunde en Gynaecologie, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde
|March 22, 1997
PubMed
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A pregnant woman with persistent transverse lie was found to have a fecal impaction mimicking a fibroid. This condition, exacerbated by pregnancy, required manual intervention for bowel evacuation.

Area of Science:

  • Obstetrics and Gynecology
  • Gastroenterology

Background:

  • Pregnancy can exacerbate pre-existing conditions.
  • Transverse lie in pregnancy requires careful evaluation.

Observation:

  • A pregnant woman presented with persistent transverse lie at 32 weeks gestation.
  • Ultrasound revealed a cervical echogenic structure, initially suspected as a fibroid.
  • Rectovaginal examination identified a large fecal mass.

Findings:

  • The cervical mass was diagnosed as fecal impaction, not a fibroid.
  • The patient experienced daily diarrhea since 3 months gestation, requiring manual fecal extraction and enemas.
  • Chronic constipation, worsened by pregnancy and diet, was the underlying issue.

Implications:

Related Experiment Videos

  • Fecal impaction can present as a mass mimicking gynecological conditions during pregnancy.
  • Accurate diagnosis is crucial for appropriate management and to avoid complications.
  • This case highlights the importance of a thorough history and physical examination in obstetric patients.