DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20171533

Extensive small bowel gangrene at mid-term pregnancy with fruitful outcome

Abdulhadi M. Elbashir, Saeed A. Alsareii, Sana B. Mustafa

Abstract


Intestinal obstruction during pregnancy is very rare. The mechanical intestinal obstruction was mostly due to adhesion from previous surgery.  Pregnancy may mask the symptoms of intestinal obstruction, and virgin abdomen adds to the ambiguity of the diagnosis. The mortality and morbidity increased for the mother and the fetus in the presence of bowel gangrene. We present a case of intestinal obstruction at mid-term pregnancy with extensive small bowel gangrene which necessitates right hemicolectomy and ends with a good outcome for the mother and fetus.


Keywords


Extensive bowel gangrene, Mid-term pregnancy, Normal delivery

Full Text:

PDF

References


Pearce P, Patel H, Vijithan T, Craddock CT, Banerjee S. Gestational intestinal obstruction complicated by cortical blindness–a multidisciplinary case report. JRSM. 2014;5(7):2054270414531120.

Chiedozi LC, Ajabor LN, Iweze FI. Small intestinal obstruction in pregnancy and puerperium. Saudi J Gastroenterol. 1999;5(3):134.

Webster PJ, Bailey MA, Wilson J, Burke DA. Small bowel obstruction in pregnancy is a complex surgical problem with a high risk of fetal loss. The Annals of The Royal College Surgeons Eng. 2015;97(5):339-44.

Vassiliou I, Tympa A, Derpapas M, Kottis G, Vlahos N. Small bowel ischemia due to jejunum volvulus in pregnancy: a case report. Case reports in Obstet Gynecol; 2012.

Zachariah SK, Fenn MG. Acute intestinal obstruction complicating pregnancy: diagnosis and surgical management. BMJ; 2014.

Latha MS, Abraham R, Chitra TV. Intestinal obstruction in pregnancy: three case reports. Int J Reprod Contracept Obstet Gynecol. 2013;2:491-3.

Dietrich CS, Hill CC, Hueman M. Surgical diseases presenting in pregnancy. Surgical Clinics of North America. 2008;88(2):403-19.

Parangi S, Levine D, Henry A, Isakovich N, Pories S. Surgical gastrointestinal disorders during pregnancy. Am J Surg. 2007;193:223-32.

Malangoni MA. Gastrointestinal surgery and pregnancy. Gastroenterol Clini North Am. 2003;32(1):181-200.

Shnider SM, Webster GM. Maternal and fetal hazards of surgery during pregnancy. Am J Obstet Gynecol. 1965;92:891-900.

Alkis I, Kurdoglu M, Kurdoglu Z. Nonobstetric surgical intervention in pregnancy. Eastern Journal of Medicine. 2010;15(1):1.

Daimon A, Terai Y, Nagayasu Y, Okamoto A, Sano T, Suzuki Y et al. A case of intestinal obstruction in pregnancy diagnosed by mri and treated by intravenous hyperalimentation. Case Reports in Obstet Gynecol; 2016.