TY - JOUR
T1 - Delayed diagnosis of bowel infarction secondary to maternal midgut volvulus at term
AU - Ventura-Braswell, Ada M.
AU - Satin, Andrew J.
AU - Higby, Kenneth
PY - 1998/5
Y1 - 1998/5
N2 - Background: Intestinal volvulus is responsible for 25% of acute bowel obstructions in pregnant women but only 3-5% in nonpregnant patients. Pregnancy may hinder early diagnosis. Case: A woman in early labor subsequently developed hypotension and a nonreassuring fetal heart rate tracing. Emergency cesarean was performed and a live infant was born. At surgery, the patient was noted to have ascites, necrotic bowel, and a congenital gut malrotation with a complete midgut volvulus. Several congenital peritoneal bands were lysed, the volvulus was reduced, and 184 cm of small bowel were resected. Conclusion: This patient represents a case of midgut volvulus with bowel infarction and necrosis secondary to congenital malrotation of the gut.
AB - Background: Intestinal volvulus is responsible for 25% of acute bowel obstructions in pregnant women but only 3-5% in nonpregnant patients. Pregnancy may hinder early diagnosis. Case: A woman in early labor subsequently developed hypotension and a nonreassuring fetal heart rate tracing. Emergency cesarean was performed and a live infant was born. At surgery, the patient was noted to have ascites, necrotic bowel, and a congenital gut malrotation with a complete midgut volvulus. Several congenital peritoneal bands were lysed, the volvulus was reduced, and 184 cm of small bowel were resected. Conclusion: This patient represents a case of midgut volvulus with bowel infarction and necrosis secondary to congenital malrotation of the gut.
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U2 - 10.1016/S0029-7844(97)00712-6
DO - 10.1016/S0029-7844(97)00712-6
M3 - Article
C2 - 9572169
AN - SCOPUS:0031947837
SN - 0029-7844
VL - 91
SP - 808
EP - 810
JO - Obstetrics and Gynecology
JF - Obstetrics and Gynecology
IS - 5 II SUPPL.
ER -