Acute intestinal obstruction in pregnancy after previous gastric bypass: A case report

Loukopoulos, T.; Zikopoulos, Athanasios; Galani, A.; Skentou, Chara; Kolibianakis, Efstratios

doi:10.1016/j.crwh.2022.e00473

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…We generated a total of 53 unique detailed cases of SBO in the third trimester of pregnancy excluding our case (figure 1). Factors from the literature review cases6–58 included maternal age, gestational age at the time of presentation, presenting symptoms, imaging modalities used, inpatient management approach, surgical route if applicable, intraoperative fetal heart rate monitoring if applicable, delivery timing, route of delivery, maternal outcomes, fetal outcomes and length of hospitalisation as outlined in the (online supplemental table 1). The data were extracted to a custom-made inclusive table outlining all the variables highlighted in table 1.…”

Section: Discussionmentioning

confidence: 99%

Management of small bowel obstruction in the third trimester

Ayyash,

Miller,

Smith

et al. 2024

BMJ Case Rep

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Small bowel obstruction (SBO) in pregnancy is exceedingly rare. Management of SBO in the third trimester may pose particular challenges, as clinicians must determine whether or not the delivery of the fetus is indicated. In this report, we review the case of a patient in her mid-20’s with no prior surgical history who presented with nausea and vomiting at 34 weeks of gestation and was ultimately diagnosed with an SBO. Following expectant management during the initial 4 days of inpatient admission, the patient subsequently underwent an exploratory laparotomy at 35 weeks without concurrent delivery. She was monitored for the remainder of her pregnancy with non-stress tests to evaluate fetal status and eventually underwent induction of labour at 39 weeks, resulting in a successful vaginal delivery. Herein, we review the challenges related to the diagnosis and management of SBO in pregnancy, as well as the maternal–fetal outcomes in the setting of SBO in the third trimester.

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Section: Discussionmentioning

confidence: 99%

Management of small bowel obstruction in the third trimester

Ayyash,

Miller,

Smith

et al. 2024

BMJ Case Rep

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“…For example, ectopic pregnancy is a common cause of abdominal pain in the first trimester, whereas preterm labor and placental abruption are common in late pregnancy. Acute appendicitis, acute cholecystitis, gastroenteritis, and pancreatitis are common causes of abdominal pain that may present during pregnancy [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Intestinal obstruction in pregnancy is uncommon, with incidence ranging from 1 in 1,500 to 1 in 66,000 births, and constitutes the second most common non-obstetric cause requiring surgical intervention in pregnancy [ 1 , 2 ]. Small bowel obstruction (SBO) in pregnancy is a rare challenging diagnosis, with a reported incidence of 1 in 17,000 deliveries [ 3 ]. Case rarity, non-specific presentations, and the contraindication of X-ray/gamma-ray imaging modalities in pregnancy contribute to the increased difficulty in timely diagnosing SBO during pregnancy, thereby significantly increasing maternal (2% to 4%) and fetal (13 to 17%) mortality [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Small bowel obstruction (SBO) in pregnancy is a rare challenging diagnosis, with a reported incidence of 1 in 17,000 deliveries [ 3 ]. Case rarity, non-specific presentations, and the contraindication of X-ray/gamma-ray imaging modalities in pregnancy contribute to the increased difficulty in timely diagnosing SBO during pregnancy, thereby significantly increasing maternal (2% to 4%) and fetal (13 to 17%) mortality [ 3 , 4 ]. Here, we report the successful detection and management of a case of small bowel volvulus in a pregnant lady with prior pelvic surgery utilizing magnetic resonance imaging (MRI).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Midgut Volvulus in Disguise: Acute Abdomen in Early Pregnancy

Gashoot,

Kashbour,

Abuhlaiga

2023

Cureus

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Small bowel obstruction (SBO) in pregnancy is a challenging diagnosis. Case rarity, non-specific presentations, and the non-practicality of using X-ray/gamma-ray imaging modalities in pregnancy contribute to the increased difficulty in timely diagnosing midgut volvulus during pregnancy, thereby increasing maternal and fetal morbidity. We report a case of midgut volvulus in a 39-year-old lady, gravida 3, para 2, with two previous cesarean sections. Her only presenting complaint was abdominal pain for three days with no other associated symptoms. The case was successfully diagnosed using magnetic resonance imaging (MRI) and subsequently treated surgically by segmental resection with side-to-side ileocecal anastomosis, thereby saving the mother and fetus. Clinicians should have a low threshold of suspicion of the varied causes of SBO in pregnancy, particularly in patients with prior abdominopelvic surgeries. Imaging is central to preoperative diagnosis, and MRI has gained popularity with safety and accuracy comparable to computed tomography. Management aims at minimizing maternal and fetal morbidity and mortality.

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Acute intestinal obstruction in pregnancy after previous gastric bypass: A case report

Cited by 2 publications

References 12 publications

Management of small bowel obstruction in the third trimester

Management of small bowel obstruction in the third trimester

Midgut Volvulus in Disguise: Acute Abdomen in Early Pregnancy

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