Small bowel volvulus in pregnancy with associated superior mesenteric artery occlusion

Yonah B. Esterson; Robert Villani; Ronald A. Dela Cruz; Barak Friedman; Gregory M. Grimaldi

doi:10.1016/j.clinimag.2017.01.002

Small bowel volvulus in pregnancy with associated superior mesenteric artery occlusion

Yonah B. Esterson, Robert Villani, Ronald A. Dela Cruz, Barak Friedman, Gregory M. Grimaldi

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Here we report the case of a pregnant 28-year-old who presented with acute upper abdominal pain. CT demonstrated midgut volvulus with short segment occlusion of the superior mesenteric artery (SMA). Emergent detorsion of the small bowel was performed, at which time underlying intestinal malrotation was discovered. Following detorsion, the SMA had a bounding pulse and did not require thrombectomy or revascularization. Fewer than 25 cases of midgut volvulus during pregnancy have been reported over the past 20 years. To our knowledge, this is the first report of maternal midgut volvulus in which imaging captures the resultant occlusion of the SMA.

Original language	English (US)
Pages (from-to)	228-231
Number of pages	4
Journal	Clinical Imaging
Volume	42
DOIs	https://doi.org/10.1016/j.clinimag.2017.01.002
State	Published - Mar 1 2017
Externally published	Yes

Keywords

Mesenteric ischemia
Midgut volvulus
Pregnancy
Small bowel volvulus
Superior mesenteric artery occlusion
Third trimester

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1016/j.clinimag.2017.01.002

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title = "Small bowel volvulus in pregnancy with associated superior mesenteric artery occlusion",

abstract = "Here we report the case of a pregnant 28-year-old who presented with acute upper abdominal pain. CT demonstrated midgut volvulus with short segment occlusion of the superior mesenteric artery (SMA). Emergent detorsion of the small bowel was performed, at which time underlying intestinal malrotation was discovered. Following detorsion, the SMA had a bounding pulse and did not require thrombectomy or revascularization. Fewer than 25 cases of midgut volvulus during pregnancy have been reported over the past 20 years. To our knowledge, this is the first report of maternal midgut volvulus in which imaging captures the resultant occlusion of the SMA.",

keywords = "Mesenteric ischemia, Midgut volvulus, Pregnancy, Small bowel volvulus, Superior mesenteric artery occlusion, Third trimester",

author = "Esterson, {Yonah B.} and Robert Villani and {Dela Cruz}, {Ronald A.} and Barak Friedman and Grimaldi, {Gregory M.}",

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T1 - Small bowel volvulus in pregnancy with associated superior mesenteric artery occlusion

AU - Esterson, Yonah B.

AU - Villani, Robert

AU - Dela Cruz, Ronald A.

AU - Friedman, Barak

AU - Grimaldi, Gregory M.

PY - 2017/3/1

Y1 - 2017/3/1

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AB - Here we report the case of a pregnant 28-year-old who presented with acute upper abdominal pain. CT demonstrated midgut volvulus with short segment occlusion of the superior mesenteric artery (SMA). Emergent detorsion of the small bowel was performed, at which time underlying intestinal malrotation was discovered. Following detorsion, the SMA had a bounding pulse and did not require thrombectomy or revascularization. Fewer than 25 cases of midgut volvulus during pregnancy have been reported over the past 20 years. To our knowledge, this is the first report of maternal midgut volvulus in which imaging captures the resultant occlusion of the SMA.

KW - Mesenteric ischemia

KW - Midgut volvulus

KW - Pregnancy

KW - Small bowel volvulus

KW - Superior mesenteric artery occlusion

KW - Third trimester

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Small bowel volvulus in pregnancy with associated superior mesenteric artery occlusion

Abstract

Keywords

ASJC Scopus subject areas

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