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Congenital intestinal malrotation causing gestational intestinal obstruction. A case report
L J Damore1, T H Damore, W E Longo
1Department of Surgery, St. Louis University Health Sciences Center, Missouri, USA.
The Journal of Reproductive Medicine
|January 23, 1998
Summary
A rare case of pregnancy intestinal obstruction due to congenital malrotation was successfully treated with a modified Ladd's procedure, avoiding maternal and fetal complications. This highlights a unique surgical approach for a critical condition.
Area of Science:
- Obstetrics and Gynecology
- Surgical Gastroenterology
- Maternal-Fetal Medicine
Background:
- Intestinal obstruction during pregnancy is a rare but serious complication.
- It carries increased risks for both maternal and fetal survival.
- Common causes include adhesions, volvulus, and intussusception.
Observation:
- A 27-year-old pregnant woman (26 weeks gestation) presented with complete small bowel obstruction.
- Conservative management failed, necessitating exploratory laparotomy.
- Congenital malrotation was identified as the cause of the obstruction.
Findings:
- The patient underwent a successful modified Ladd's procedure for the congenital malrotation.
- No maternal or fetal morbidity was observed post-operatively.
- This case highlights an unusual etiology for bowel obstruction in pregnancy.
Implications:
- Successful surgical intervention for congenital malrotation in pregnancy is possible.
- Early diagnosis and surgical management can prevent adverse outcomes.
- This case adds to the limited literature on rare causes of intestinal obstruction in pregnancy.