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Small bowel obstruction in pregnancy

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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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References

  1. Sharp HT (2002) The acute abdomen during pregnancy. Clin Obstet Gynecol 45:405–413

    Article  PubMed  Google Scholar 

  2. Connolly MM, Unti JA, Nora PF (1995) Bowel obstruction in pregnancy. Surg Clin North Am 75:101–113

    PubMed  CAS  Google Scholar 

  3. Leyendecker JR, Gorengaut V, Brown JJ (2004) MR Imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics 24:1301–1316

    Article  PubMed  Google Scholar 

  4. Brown MA, Birchard KR, Semelka RC (2005) Magnetic resonance evaluation of pregnant patients with acute abdominal pain. Semin Ultrasound CT MR 26:206–211

    Article  PubMed  Google Scholar 

  5. Allen J, Helling T, Langenfeld M (1989) Intraabdominal surgery during pregnancy. Am J Surg 158:567–569

    Article  PubMed  CAS  Google Scholar 

  6. Perdue PW, Johnson HW JR, Stafford PW (1992) Intestinal obstruction complicating pregnancy. Am J Surg 164:384–388

    Article  PubMed  CAS  Google Scholar 

Download references

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Authors and 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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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

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