Recurrent Closed Loop Bowel Obstruction in Third Trimester of Pregnancy: Case Report and Review of Literature

Intestinal obstruction in pregnancy is an uncommon event. It is a high-risk emergency for both the mother and fetus. Diagnosis of obstruction in pregnancy is often delayed due a multitude of reasons including the nonspecific presentation of symptoms, normal laboratory values, and hesitancy to perfor...

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Bibliographic Details
Published in:SN comprehensive clinical medicine 2022-08, Vol.4 (1), Article 178
Main Authors: Araji, Tarek, Wang, Stephanie, Kandalaft, Nadeem, Estroff, Jordan, Ahmadzia, Homa K.
Format: Article
Language:English
Subjects:
Case Report
Medicine
Medicine & Public Health
Topical Collection on Surgery
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Summary:Intestinal obstruction in pregnancy is an uncommon event. It is a high-risk emergency for both the mother and fetus. Diagnosis of obstruction in pregnancy is often delayed due a multitude of reasons including the nonspecific presentation of symptoms, normal laboratory values, and hesitancy to perform necessary imaging studies. Closed loop bowel obstruction (CLBO) is a rare type of intestinal obstruction that compromises blood flow, and it is a surgical emergency that requires prompt intervention. We present of case of CLBO in a pregnant patient at 27 weeks of gestation. Unique to her situation was that this diagnosis was the second time in the same pregnancy. Our patient had a necrotic bowel segment removed via an open laparotomy. The remainder of her pregnancy was uncomplicated, and she delivered at term a viable male via planned cesarean delivery.
ISSN:2523-8973
2523-8973
DOI:10.1007/s42399-022-01260-8