Acute intestinal occlusion in pregnant women
DOI:
https://doi.org/10.52692/1857-0011.2023.3-77.24Keywords:
intestinal occlusion, pregnant women, managementAbstract
Introduction. Intestinal occlusion in pregnant women is characterized by the difficulty of diagnosis and the negative prognosis for the pregnant woman (35-50%) and the fetus (60%). Purpose. Study of the etiology and particularities in the management of pregnant women with acute intestinal occlusion. Material and methods. We conducted a study of the treatment of 4 pregnant women with acute intestinal occlusion. Patients were examined clinically, laboratory, USG, abdominal X-ray, consulted by a gynecologist, surgeon, endoscopist, etc. Results. The treatment performed in 4 pregnant women with acute intestinal occlusion was complex, individual, successful. Surgical interventions: caesarean section, laparotomy was performed, new borns alive. In 2 patients the pregnancy was preserved. Conclusions. The causes of mechanical intestinal occlusion in pregnant women were volvulus of the sigmoid colon and intra-abdominal adhesion process after previous operations. The management peculiarities of pregnant women with intestinal occlusion were: diagnostic difficulties, late referral, unclear clinical picture.
References
Casey FE, Lau KN, Mesbah MC, Khalife ME. Use of laparoscopy for resolution of intussusception in the third trimester of pregnancy: a case report. J Reprod Med. 2009;54(11-12):712-4.
Di Buono G, Ricupati F, Maienza E, Gulotta L, Buscemi S, Agrusa A. Small bowel obstruction after caesarean section: Laparoscopic management. Two case reports. Int J Surg Case Rep. 2020;77S(Suppl):S96-S100.
Huerta S, Pickett ML, Mottershaw AM, Gupta P, Pham T. Volvulus of the Transverse Colon. Am Surg. 2023;89(5):1930-1943.
Kalu E, Sherriff E, Alsibai MA, Haidar M. Gestational intestinal obstruction: a case report and review of literature. Arch Gynecol Obstet. 2006;274(1):60-2.
Malézieux-Picard A, Saint-Paul MC, Dellamonica J, Courjon J, Tieulié N, Marty P, Fuzibet JG, Collomp R, Marinho JA, Queyrel V. Severe intestinal obstruction due to Strongyloides stercoralis in a pregnant woman. Med Mal Infect. 2017;47(6):429-431.
Osime OC, Onakewhor J, Irowa OO. Intussusception in pregnancy-a rarely considered diagnosis. Afr J Reprod Health. 2010;14(1):145-8.
Penney D, Ganapathy R, Jonas-Obichere M, El-Refeay H. Intussusception: a rare cause of abdominal pain in pregnancy. Ultrasound Obstet Gynecol. 2006;28(5):723-5.
Shenhav S, Gemer O, Segal S, Linova L, Joffe B. Preoperative diagnosis of intestinal intussusception in pregnancy. A case report. J Reprod Med. 2000;45(6):501-3.
Stukan M, Kruszewski Wiesław J, Dudziak M, Kopiejć A, Preis K. Niedrozność przewodu pokarmowego u kobiet ciezarnych [Intestinal obstruction during pregnancy]. Ginekol Pol. 2013;84(2):137-41.
Walczak DA, Czerwińska M, Fałek W, Trzeciak PW. Volvulus of transverse colon as a rare cause of obstruction a case report and literature review. Pol Przegl Chir. 2013;85(10):605-7.
Wikman-Jorgensen P, Requena-Méndez A, LlenasGarcía J. A Review on Strongyloidiasis in Pregnant Women. Res Rep Trop Med. 2021;12:219-225.
Хворостухина Н. Ф., Салов И. А., Рогожина И. Е., Столярова У. В. Факторы риска кишечной непроходимости у беременных. Саратовский научно-медицинский журнал. 2012.8(3):723-728. [Khvorostukhina N. F., Salov I. A., Rogozhina I. E., Stolyarova U. V. Risk factors for intestinal obstruction in pregnant women. Saratov Scientific Medical Journal. 2012.8(3):723-728].
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