2016
DOI: 10.1093/jscr/rjw113
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Intestinal malrotation complicated by an occlusive syndrome involving internal hernia in a pregnant woman

Abstract: We present the case of a 33-year-old female who presented intestinal obstruction at the 7th month of pregnancy. She was complaining of abdominal pain with paroxysms, nausea and vomiting. When the symptoms worsened, we performed a CT-scan, which revealed suspected intestinal obstruction in a context of intestinal malrotation (IM). Conservative therapy failed and she required emergency laparotomy beginning with a caesarean section. The surgery revealed a peritoneal defect due to the IM through which the jejunum … Show more

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Cited by 3 publications
(3 citation statements)
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“…CT was performed in 37.7% of cases, followed by X-ray in 34.0% of cases, followed by MRI in 22.6% of cases. It is important to note that, while, in our case, we sufficed with x-ray to help guide diagnosis and management, if further imaging is required with contrast, the benefit in such cases could outweigh the risk of contrast in any trimester 10 20 26 28. In general, the overarching principle for any imaging procedure is to begin with the least invasive tool and advance as required.…”
Section: Discussionmentioning
confidence: 94%
See 1 more Smart Citation
“…CT was performed in 37.7% of cases, followed by X-ray in 34.0% of cases, followed by MRI in 22.6% of cases. It is important to note that, while, in our case, we sufficed with x-ray to help guide diagnosis and management, if further imaging is required with contrast, the benefit in such cases could outweigh the risk of contrast in any trimester 10 20 26 28. In general, the overarching principle for any imaging procedure is to begin with the least invasive tool and advance as required.…”
Section: Discussionmentioning
confidence: 94%
“…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%
“…The search terms used were: “Malrotation” or “nonrotation” or “reserve rotation” and “pregnancy”. In addition to the previous volvulus cases, we also retrieved one case of internal hernia[ 27 ] and one case with only symptoms of intestinal obstruction[ 28 ] (Table 1 ). No cases of pregnancy with reverse rotation were identified.…”
Section: Discussionmentioning
confidence: 99%