Small bowel volvulus in pregnancy

Dilbaz, Serdar; Gelişen, Orhan; Çalışkan, Eray; Çalışkan, Şafak; Gokcin, Hakan; Haberal, Alı

doi:10.1016/s0301-2115(03)00203-3

Cited by 11 publications

(5 citation statements)

References 7 publications

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“…The usual dose of 0.001 Gy per film carries a negligible risk for the fetus in the third trimester. This investigation helps to identify 91% of typical patterns of intestinal obstruction 9 . The present case highlights the need for a careful history and examination.…”

Section: Discussionmentioning

confidence: 72%

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Concurrent sigmoid volvulus and herniation through broad ligament defect during pregnancy: Case report and literature review

Gyaneshwar

Mayer

2008

J of Obstet and Gynaecol

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Sigmoid volvulus in pregnancy is a rare complication. The combination of sigmoid volvulus and sigmoid herniation through a broad ligament together with placental abruption in pregnancy is a most unusual obstetrical emergency. We report the case of a previously well 32-year-old Mexican woman who was transferred to our institution at 28 weeks gestation with threatened preterm labor. We considered the possibility of appendicitis. While awaiting a surgical consult, an emergency cesarean section was carried out for a prolonged deceleration of the fetal heart. A routine transverse suprapubic abdominal entry revealed a large loop of ischemic bowel. This was confirmed to be a sigmoid volvulus which had herniated through a left broad ligament defect. The deceleration was attributed to a large placental abruption. No previous case with a combination of a sigmoid volvulus and placental abruption was found in the literature.

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Section: Discussionmentioning

confidence: 72%

“…Nausea and clear vomiting progresses to fecal vomiting. Constipation is present in only 30% of cases of bowel obstruction 9 . The common clinical signs are fever, dehydration, abdominal tenderness, absence of bowel sound and leukocytosis.…”

Section: Discussionmentioning

confidence: 99%

Concurrent sigmoid volvulus and herniation through broad ligament defect during pregnancy: Case report and literature review

Gyaneshwar

Mayer

2008

J of Obstet and Gynaecol

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“…Up to 9% of all intestinal obstructions during pregnancy are attributed to small bowel volvulus [6] . The underlying mechanism of small bowel volvulus in pregnancy is thought to be related to the gradual increase in uterine size during pregnancy, causing partial obstruction, proximal distension, and torsion at the point of fixation [6] , [7] , [8] . The reduced intra-abdominal space caused by the gravid uterus may prevent spontaneous detorsion.…”

Section: Discussionmentioning

confidence: 99%

Small bowel volvulus around caesarian section scar adhesions

Wright

Chong

Willatt

2017

Radiology Case Reports

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“…Most cases occur during the third trimester or puerperium. The rapid increase in uterine size in the third trimester and sudden decrease during the puerperium can alter the location and movement of abdominal contents and contribute to volvulus formation (16).…”

Section: Discussionmentioning

confidence: 99%

Postmortem Diagnosis of Primary Small Bowel Volvulus in an Adult

Garavan¹,

Hameed

2015

Academic Forensic Pathology

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Small bowel volvulus is a rare cause of intestinal obstruction. It is defined as the twisting of a segment of the bowel around the axis of its mesentery. Based on the cause, small bowel volvulus is divided into primary and secondary types. The primary type occurs in an otherwise normal abdominal cavity. The secondary type occurs in the presence of predisposing lesions, either congenital or acquired. This is a case report of a primary jejunal volvulus in an 82-year-old man who died suddenly. The autopsy findings included proximal small bowel obstruction and perforation with florid peritonitis secondary to jejunal volvulus. Histology confirmed infarction of the small bowel at the level of the jejunum. We concluded that the cause of death was peritonitis due to small bowel perforation caused by small bowel obstruction secondary to volvulus. No predisposing anatomical abnormality was identified at the site of the volvulus so, by definition, this is a primary type. Jejunal location is usually associated with primary volvulus, and these correlate with a higher incidence of necrotic loops requiring intestinal resection. Primary volvulus is more common in the jejunum than other parts of the small bowel, and these cases are more likely to result in necrosis requiring resection.

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Small bowel volvulus in pregnancy

Cited by 11 publications

References 7 publications

Concurrent sigmoid volvulus and herniation through broad ligament defect during pregnancy: Case report and literature review

Concurrent sigmoid volvulus and herniation through broad ligament defect during pregnancy: Case report and literature review

Small bowel volvulus around caesarian section scar adhesions

Postmortem Diagnosis of Primary Small Bowel Volvulus in an Adult

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