Volvulus du sigmoïde, une complication rare de la grossesse

Narjis, Y.; Mansouri, M. N. El; Jgounni, R.; Louzi, A.; Abassi, Hamouda; Soumani, A.; Benelkhayat, R.; Finech, B.; Dafali, A. El Idrissi

doi:10.1016/j.gyobfe.2008.05.004

Cited by 13 publications

(6 citation statements)

References 8 publications

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“…En este caso, la paciente tenía una brida secundaria a una cirugía previa (laparotomía por gestación ectópica accidentada) que le había provocado la obstrucción y la isquemia intestinal posterior. La obstrucción mecánica del intestino puede ocurrir en cualquier trimestre del embarazo, pero es más frecuente cuando ocurren los cambios rápidos de tamaño del útero (alrededor de la semana 20 en la que el útero se convierte en un órgano intraabdominal), cuando desciende la presentación fetal y cuando el útero se contrae en el momento del parto (8) . La literatura habla de una mortalidad materna del 6-26% y fetal que puede llegar hasta un 35% en los casos de diagnóstico tardío, con presencia de perforación intestinal con peritonitis (8) .…”

Section: Discussionunclassified

“…La obstrucción mecánica del intestino puede ocurrir en cualquier trimestre del embarazo, pero es más frecuente cuando ocurren los cambios rápidos de tamaño del útero (alrededor de la semana 20 en la que el útero se convierte en un órgano intraabdominal), cuando desciende la presentación fetal y cuando el útero se contrae en el momento del parto (8) . La literatura habla de una mortalidad materna del 6-26% y fetal que puede llegar hasta un 35% en los casos de diagnóstico tardío, con presencia de perforación intestinal con peritonitis (8) . Se recomienda siempre la realización de ecografía gineco-obstétrica acompañada de ecografía abdominal para la correcta valoración del resto de órganos.…”

Section: Discussionunclassified

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Obstrucción Intestinal Por Brida Postquirúrgica en Gestante: A Propósito De Un Caso

et al. 2019

Rev. chil. obstet. ginecol.

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El dolor abdominal en gestantes supone un diagnóstico complejo por el múltiple diagnóstico diferencial que existe. Es necesaria la realización de un diagnóstico precoz para reducir el número de complicaciones. Para ello, nos apoyamos no sólo en criterios clínicos si no en pruebas de imagen como la resonanacia magnética nuclear. Nuestro objetivo es la realización de una revisión bibliográfica sobre el dolor abdominal en gestantes, centrándonos en la obstrucción intestinal, a propósito de un caso de una gestante con dolor abdominal agudo a la que se le diagnosticó de isquemia intestinal secundaria a obstrucción intestinal por brida postquirúrgica. La obstrucción intestinal es una causa infrecuente y potencialmente grave de dolor abdominal agudo en gestantes, que cursa con clínica insidiosa y que precisa cirugía como tratamiento.

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Section: Discussionunclassified

Obstrucción Intestinal Por Brida Postquirúrgica en Gestante: A Propósito De Un Caso

et al. 2019

Rev. chil. obstet. ginecol.

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“…The risks of obstruction increase from 16 to 24 WA, with passage of the uterus to the abdominal-pelvic position at 36 WA, the descent of the foetus into the pelvis and in the post-partum period during uterine involution [2]. The more advanced into the pregnancy, the greater the risk of obstruction: 6% of obstructions occur during the first trimester, 27% during the second, 44% during the third and 21% post-partum [3]. The usual symptoms of obstruction can be confused with pregnancy-related pain.…”

Section: Discussionmentioning

confidence: 99%

“…However, given the advanced term and the normal findings of the first abdominal US-scan, a CT-scan seemed to be the most useful examination. The abdominal-pelvic CT-scan is the gold-standard in the exploration of obstruction syndromes and can be used if the expected benefits outweigh the risks of foetal irradiation [3, 8]. …”

Section: Discussionmentioning

confidence: 99%

Intestinal malrotation complicated by an occlusive syndrome involving internal hernia in a pregnant woman

Joyeux

Gobenceaux

Hoyek³

et al. 2016

J. surg. case rep.

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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 and ileum were incarcerated and strangulated. The incarcerated bowel was reduced and intestinal colour quickly returned to normal. Primary closure of the peritoneal defect was thus performed and the post-operative course was uneventful for the mother and the baby, who was admitted to the neonatal intensive care unit.

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“…This technique was the most used according to the literature [10] [11] [12] despite having rare cases of remissions pontaneous reported by De U in India [11]. This attitude is explained by the delayed diagnosis and therapeutic that results in local conditions (necrosis, unprepared colon) and general preventing endoscopic detorsion.…”

Section: Commentmentioning

confidence: 99%

Sigmoide Volvulus on Pregnancy in the General Surgery Service of the Sikasso Hospital, Mali

Maiga¹,

Traoré²,

Diassana³

et al. 2019

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Sigmoid volvulus on pregnancy is a rare surgical emergency. We report two cases treated in the General Surgery Department of Sikasso Hospital between January 2009 and December 2017. The mean age was 34.8 years and the gestational age ranged from 28 to 30 weeks. The evolution time was 4 days. The 2 patients were referred to us by gynecologist-obstetricians. They were operated after a short-term resuscitation. Inoperative the volvulus of the sigmoid was alone in 1 case; he was associated with a hail volvulus in the other. The volvated loop was necrotic in 1 case (small and sigmoid). A patient benefited from the Hartmann operation associated with a small bowel resection with end-to-end anastomosis. Simple sigmoidal detorsion was performed in one patient. We did not register a maternal death. The follow-up was simple in the 2 patients who gave birth vaginally.

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Volvulus du sigmoïde, une complication rare de la grossesse

Cited by 13 publications

References 8 publications

Obstrucción Intestinal Por Brida Postquirúrgica en Gestante: A Propósito De Un Caso

Obstrucción Intestinal Por Brida Postquirúrgica en Gestante: A Propósito De Un Caso

Intestinal malrotation complicated by an occlusive syndrome involving internal hernia in a pregnant woman

Sigmoide Volvulus on Pregnancy in the General Surgery Service of the Sikasso Hospital, Mali

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