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Related Experiment Videos

Intestinal obstruction caused by caecal volvulus

R B Singh1, H L Khatri, K Singh

  • 19J/15, Medical Enclave, Rohtak-124001 Haryana (India).

Pediatric Surgery International
|November 3, 1998
PubMed
Summary
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A pregnant woman with gangrenous cecal volvulus underwent a successful right hemicolectomy. She experienced an uncomplicated recovery and a normal vaginal delivery, highlighting the safety of surgical intervention during pregnancy.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Obstetrics & Gynecology

Background:

  • Intestinal obstruction during pregnancy is rare but poses significant risks.
  • Cecal volvulus, a twisting of the large intestine, can lead to ischemia and gangrene, necessitating urgent surgical intervention.
  • Management decisions for surgical emergencies in pregnant patients require careful consideration of maternal and fetal well-being.

Observation:

  • A 6-month pregnant patient presented with symptoms suggestive of acute abdominal pathology.
  • Diagnostic imaging confirmed a diagnosis of volvulus of the caecum with evidence of gangrene.
  • The patient underwent an emergency right hemicolectomy to address the condition.

Findings:

  • The surgical procedure, a right hemicolectomy, was technically successful.

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  • The patient experienced an uneventful postoperative recovery period.
  • The pregnancy continued to term, culminating in a normal vaginal delivery.

    • Implications:

    • This case demonstrates the feasibility and safety of performing a right hemicolectomy in a pregnant patient with gangrenous cecal volvulus.
    • Aggressive surgical management of acute abdominal emergencies like cecal volvulus can be safely undertaken during pregnancy without compromising fetal outcomes.
    • The successful management highlights the importance of prompt diagnosis and intervention for potentially life-threatening conditions in pregnant individuals.