Delayed diagnosis of bowel infarction secondary to maternal midgut volvulus at term

Ada M. Ventura-Braswell, Andrew J. Satin, Kenneth Higby

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)808-810
Number of pages3
JournalObstetrics and gynecology
Volume91
Issue number5 II SUPPL.
DOIs
StatePublished - May 1998

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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