Meckel’s Diverticulum Causing Small Bowel Intussusception in Third Trimester Pregnancy, a Case Report

Wilson, Reece Eric; Reali-Marini, Diane

doi:10.5070/m551046547

Cited by 1 publication

(1 citation statement)

References 7 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%