Intussusception During Pregnancy: A Case Report and Review of the Literature

Mahungu, P.; Galerneau, France; Pugash, D.; Williams, Kathryn

doi:10.1016/s0849-5831(16)30251-8

Cited by 2 publications

(5 citation statements)

References 8 publications

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“…There is paucity of scientific data on intussusception in pregnancy globally thus making it a rare clinical occurrence [11,12,13,14,15,16]. It is a known cause of intestinal obstruction complicating pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Ultrasonography and CT scan are the gold standard for evaluating and diagnosing intussusception in adults [12,20,21,23,26]. In pregnancy however, ultrasonography and MRI are the safer options because of the risk of fetal abnormalities associated with use of CT scan [8,13,14,31]. However, physicians should not hesitate to use CT scan in pregnancy if the benefits outweigh the risk [11].…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of choice among adults is surgical resection [11,13,16,19,20,21,22,26,28,29]. This is because it is associated with a lead point in 90% of cases, 65% of which are malignant [10,17].…”

Section: Discussionmentioning

confidence: 99%

“…Intussusception is classified into 4 types depending on the parts of the bowel involved: enteric, ileo-cecal, ileo-colic (commonest) and colo-colic [1,2,18,19,20]. Intussusception in pregnancy is rare globally [11,12,13,14,15,16]. Symptoms such as abdominal pain, nausea and vomiting may mimic obstetric symptoms, so a high index of suspicion is usually needed in pregnancy [8,18,27].…”

Section: Introductionmentioning

confidence: 99%

“…The use of radiological imaging (ultrasonography and Magnetic Resonance Imaging) in confirming diagnosis of intussusception in pregnancy cannot be overemphasized [8,11,13,14]. The treatment of choice for intussusception in adults is surgical resection, unlike in children where a more conservative approach is favored [11,13,16,19,20,21,22,26,28,29].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Intussusception Presenting as Intestinal Obstruction in Pregnancy: A Case Report from a Tertiary Hospital in Ghana

Seidu¹,

Suoseg²,

Sheriff³

et al. 2020

AJMCR

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There is paucity of scientific data on intussusception in pregnancy globally which makes it a rare clinical occurrence. The symptoms in pregnancy may mimic obstetric conditions and thus presents a diagnostic dilemma to clinicians. A high index of suspicion is therefore needed in order to establish a preoperative diagnosis. We present a 29-year old woman, gravida 5 para 4, 2 alive and 2 dead (G5P4 2A+2D) at 23-weeks' 6 days gestation from northern Ghana, who was referred to Tamale Teaching Hospital (TTH) as a case of acute abdomen. Initial clinical assessment and bedside ultrasonography led to a diagnosis of intussusception. A viable colo-colic intussusception was found on open laparotomy and a left hemicolectomy was performed. This was confirmed by histopathological examination of the resected bowel. There was no identifiable lead point. This case report illustrates how good and prompt initial clinical assessment supported with imaging led to a successful outcome of acute abdomen in pregnancy in a low-middle resource country.

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Section: Discussionmentioning

confidence: 99%