Acute intestinal occlusion in pregnant women


  • Irina PALADII Laboratory of Hepato-Pancreato-Biliary Surgery
  • Vadim GHEORGHITSA Laboratory of Hepato-Pancreato-Biliary Surgery
  • Vladimir KUSTUROV Laboratory of Hepato-Pancreato-Biliary Surgery; Municipal Clinical Hospital "Gheorghe Paladi."
  • Tamara BITCA IMSP Municipal Clinical Hospital "Gheorghe Paladi"
  • Anna KUSTUROVA Nicolae Testemițanu State University of Medicine and Pharmacy; IMSP Institutul de Medicină Urgentă



intestinal occlusion, pregnant women, management


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.

Author Biographies

Irina PALADII, Laboratory of Hepato-Pancreato-Biliary Surgery

Dr. in Med. Sci., Scientific Researcher

Vadim GHEORGHITSA, Laboratory of Hepato-Pancreato-Biliary Surgery

Scientific Research

Tamara BITCA, IMSP Municipal Clinical Hospital "Gheorghe Paladi"

Врач акушер-гинеколог

Anna KUSTUROVA, Nicolae Testemițanu State University of Medicine and Pharmacy; IMSP Institutul de Medicină Urgentă

Doctor of Medical Sciences, Associate Professor at the University.


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].





Research Article