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Small bowel obstruction in pregnancy

Archives of Gynecology and Obstetrics volume 275, pages 381–383 (2007)Cite this article

Abstract

Background

Intestinal obstruction in pregnancy is rare. Symptoms are often unspecific and a high level of suspicion is essential for early diagnosis. Fetal and maternal mortality rates are higher during pregnancy due to delay in diagnosis.

Case

A 31-year-old primigravida with a history of abdominal surgery was admitted because of worsening abdominal pain, abdominal distension and elevated pancreatic enzymes. Ultrasound showed dilated small bowel loops. Explorative laparotomy revealed a small bowel obstruction with partial bowel necrosis caused by a single adhesion. A jejuno-jejunostomy was performed. Five days later, she developed peritonitis. A secondary laparotomy and caesarean section were done.

Conclusion

In spite of timely diagnosis and prompt surgical intervention, our case was still complicated by peritonitis and early delivery. This underlines the necessity of immediate clinical suspicion. Small bowel obstruction should be considered in differential diagnosis of pregnant patients with a history of abdominal surgery.

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Author information

Affiliations

  1. University Women’s Clinic, Otto-von-Guericke University, Gerhart-Hauptmann-Strasse 35, 39108, Magdeburg, Germany

    Anke Redlich & Serban-Dan Costa

  2. Department of Gastroenterology, Otto-von-Guericke University, Magdeburg, Germany

    Steffen Rickes

  3. Department of General Surgery, Otto-von-Guericke University, Magdeburg, Germany

    Stefanie Wolff

Authors
  1. Anke Redlich
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  2. Steffen Rickes
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  3. Serban-Dan Costa
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  4. Stefanie Wolff
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Corresponding author

Correspondence to Serban-Dan Costa.

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Cite this article

Redlich, A., Rickes, S., Costa, SD. et al. Small bowel obstruction in pregnancy. Arch Gynecol Obstet 275, 381–383 (2007). https://doi.org/10.1007/s00404-006-0262-8

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  • DOI: https://doi.org/10.1007/s00404-006-0262-8

Keywords

  • Small bowel obstruction
  • Pregnancy
  • Acute abdomen
  • Abdominal scars
  • Abdominal adhesions