Ileosigmoid knotting in early pregnancy: A case report

Maunganidze, Aspect J.V.; Mungazi, Simbarashe Gift; Siamuchembu, Maphios; Mlotshwa, Makhosini

doi:10.1016/j.ijscr.2016.03.022

Cited by 5 publications

(8 citation statements)

References 7 publications

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“…As reported by Maunganidze et al, ileosigmoid knotting can occur as early as 13 weeks. 3 Multiparity in this patient could have been a risk factor for the development of ISK. Multiparity is associated with laxity of the anterior abdominal wall, a risk factor for ISK.…”

Section: Discussionmentioning

confidence: 86%

“…1 Worldwide the reported incidence is 1 in 1500 to 1 in 66,431. 2,3 Intestinal obstruction in pregnancy most commonly occurs at 3 separate time frames during gestation: at 4 to 5 months when the uterus becomes intra-abdominal, at 8 to 9 months when the foetal head descends into the pelvis and during the puerperium. Coincident with these intervals is the rearrangement of intra-abdominal organs which in the presence of a pre-existing adhesive band can lead to intestinal obstruction.…”

Section: Introductionmentioning

confidence: 99%

“…This report describes a case of ileosigmoid knotting presenting at 13 weeks of gestation. 3,6 Case presentation A para-2, gravida-3 32-year-old African female patient, presented to Parirenyatwa Group of Hospitals Casualty Department with a 1-day history of abdominal pain and vomiting at 13 weeks' gestation. The abdominal pain was of sudden onset, colicky nature, peri-umbilical location and progressively worsened in intensity over time.…”

Section: Introductionmentioning

confidence: 99%

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Ileosigmoid knotting in pregnancy: A case report from Zimbabwe

Mlambo¹,

Mungazi²,

Maunganidze³

2018

East. Cent. Afr. J. Surg.

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Ileosigmoid knotting (ISK), also known as compound volvulus, is a rare cause of intestinal obstruction wherein the ileum wraps around the base of the sigmoid colon and forms a knot with rapid progression to gangrene. The worldwide incidence of ISK ranges from 1 in 1500 to 1 in 66,431. ISK is particularly rare in pregnancy, with the majority of cases occurring in the third trimester. The preoperative diagnosis of ISK in pregnancy is challenging because the condition is often mistaken for other obstructive or nonobstructive emergencies and delayed because of concerns regarding imaging in pregnancy. We report a case of a gravid woman presenting at 13 weeks' gestation with features suggestive of intestinal obstruction and who underwent an emergency laparotomy during which a diagnosis of ISK was made. Her recovery was uneventful, and she was able to carry the pregnancy to term.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ileosigmoid knotting in pregnancy: A case report from Zimbabwe

Mlambo¹,

Mungazi²,

Maunganidze³

2018

East. Cent. Afr. J. Surg.

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“…Small bowel obstruction in pregnancy is rare [1][2][3][4][5][6]. It occurs in roughly 1 in 17,000 deliveries [7].…”

Section: Discussionmentioning

confidence: 99%

“…Small bowel obstruction during pregnancy is rare [1][2][3][4][5][6]. It is typically due to adhesive disease from previous surgeries [6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Successful Vaginal Delivery during Acute Small Bowel Obstruction: A Case Report and Review of the Literature

Stephens

Wagner

Pineles

et al. 2021

Case Reports in Obstetrics and Gynecology

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Small bowel obstruction during pregnancy is rare and can be detrimental to both mother and fetus. In most cases, management eventually involves surgical intervention. Little is known regarding optimal mode of delivery in those with bowel obstruction during pregnancy. We present a case of vaginal delivery during acute small bowel obstruction as well as a review of recent literature regarding mode of delivery in the setting of bowel obstruction. Our case and literature review demonstrates that in pregnancies complicated by small bowel obstruction, successful vaginal delivery can be achieved in those with stable maternal-fetal status.

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Clinical Presentation of Intestinal Obstruction in Pregnancy and Management Challenges: Case Series

Lodhia¹,

Tendai²,

Sadiq³

et al. 2022

Austin J Obstet Gynecol

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Introduction: Abdominal emergencies during pregnancy (excluding obstetric emergencies) occur on one out of 500-700 pregnancies. Since they are relatively rare patients should be referred and managed in tertiary level centres where surgical, obstetrical and neonatal cares are available. To our understanding there are no detailed descriptive series of occurrences of intestinal obstruction in pregnancy emanating from (Low and middle income countries) LMIC including Tanzania. Case Presentation: Herein, we present four cases of intestinal obstruction in pregnancy that was managed at a tertiary level centre in a Northern Tanzania. We share experiences and challenges in the surgical management and short term surgical outcomes. Conclusion: Clinical presentations may be atypical and misleading due to pregnancy-associated anatomical and physiologic alterations which often lead in diagnostic uncertainty and therapeutic delays with increased risk of maternal and fetal morbidity.

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Ileosigmoid knotting in early pregnancy: A case report

Cited by 5 publications

References 7 publications

Ileosigmoid knotting in pregnancy: A case report from Zimbabwe

Ileosigmoid knotting in pregnancy: A case report from Zimbabwe

Successful Vaginal Delivery during Acute Small Bowel Obstruction: A Case Report and Review of the Literature

Clinical Presentation of Intestinal Obstruction in Pregnancy and Management Challenges: Case Series

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