CASE REPORT
Mechanical small bowel obstruction as a complication of pregnancy
More details
Hide details
Submission date: 2014-11-18
Final revision date: 2014-12-17
Acceptance date: 2014-12-17
Publication date: 2015-03-24
Medical Studies 2015;31(1):48-51
KEYWORDS
TOPICS
ABSTRACT
Abdominal pain is a common complaint in pregnancy. Intestinal obstruction reported in pregnancy varies, ranging from 1 in 1500 to 1 in 66431 pregnancies. Unfortunately, “dormant alertness” can lead to delayed surgical intervention, which in turn can increase the risk of complications that pose a threat to the mother as well as her foetus. The paper presents a case of a 23-year-old pregnant woman diagnosed with mechanical small bowel obstruction in 27 hbd, which required surgical emergency operation. The necrotic loop of the small intestine was resected. Despite tocolysis, which was necessary on the second day following the surgery, the patient was discharged home in good condition, with her pregnancy intact.
REFERENCES (21)
1.
Coughlan B, O’Herlihy C. Acute intestinal obstruction during pregnancy. J R Coll Surg Edinb 1978; 23: 175-7.
2.
Beck W Jr. Intestinal obstruction in pregnancy. Obstet Gynecol 1974; 43: 374-8.
3.
Davis M, Bohon C. Intestinal obstruction in pregnancy. Clin Obstet Gynecol 1983; 26: 832-42.
4.
Ballantyne G, Brandner M, Beart R Jr, et al. Volvulus of the colon. Incidence and mortality. Ann Surg 1985; 202: 83-92.
5.
Oleszczuk J, Leszczynska-Gorzelak B, Poniedziałek-Czajkowska E. Rekomendacje postępowania w najczęstszych powikłaniach ciąży i porodu. BiFolium, Lublin 2002.
6.
Grzymisławski M, Derc K, Kempiak J. Choroby układu pokarmowego. In: Ciąża wysokiego ryzyka. Bręborowicz GH (ed.), Ośrodek Wydawnictw Naukowych, Poznan 2010; 777-88.
7.
Connolly MM, Unti JA, Nora PF. Bowel obstruction in pregnancy. Surg Clin North Am 1995; 75: 101-13.
8.
Meyerson S, Holtz T, Ehrinpreis M, et al. Small bowel obstruction in pregnancy. Am J Gastroenterol 1995; 90: 299-302.
9.
Augustin G, Majerovic M. Non-obstetrical acute abdomen during pregnancy. Eur J Obstet Gynecol Reprod Biol 2007; 131: 4-12.
10.
Gambala C, Levine D, Kilpatrick S. Appendicitis in pregnancy. A quessing game? Contemp Ob Gyn 2008; 53: 34-6.
11.
Kempiak J. Zmiany ustrojowe w przebiegu ciąży. In: Położnictwo i ginekologia. Bręborowicz GH (ed.), Wydawnictwo Lekarskie PZWL, Warsaw 2010; 41-53.
12.
Sharp H. The acute abdomen during pregnancy. Clin Obstet Gynecol 2002; 45: 405-13.
13.
Podstawy chirurgii. Szmidt J (ed.). Medycyna Praktyczna, Krakow 2010.
14.
Pratt A, Donaldson R, Evertson L, et al. Cecal volvus in pregnancy. Obstet Gynecol 1981; 57: 37S-40S.
15.
Chirurgia. Fibak J (ed.). Wydawnictwo Lekarskie PZWL, Warsaw 1996.
16.
Chirurgia. Noszczyk W (ed.). Wydawnictwo Lekarskie PZWL, Warsaw 2005.
17.
Stukan A, Kruszewski WJ, Dudziak M, et al. Niedrożność przewodu pokarmowego u kobiet ciężarnych. Gin Pol 2013; 84: 137-41.
18.
Parangi S, Levine D, Henry A, et al. Surgical gastrointestinal during disorders pregnancy. Am J Surg 2007; 193: 223-32. v.
19.
Mourad J, Elliott J, Erickson L, et al. Appendicitis in pregnancy, new information that contradicts long-held clinical beliefs. Am J Obstet Gynecol 2000; 182: 1027-9.
20.
Perdue P, Johnson H Jr, Stafford P. Intestinal obstruction complicating pregnancy. Am J Surg 1992; 164: 384-8.
21.
Malinowski ML, Pisarek-Miedzińska D. Niepołożnicze zabiegi operacyjne podczas ciąży. Gin Pol 2009; 80: 523-7.