Primary volvulus of the small bowel following normal delivery

Ranjan, Ved Prakash; Boulton, Janet M

doi:10.1111/j.1471-0528.1993.tb14316.x

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…Only three previous cases of pregnant patients who successfully underwent detorsion of small bowel volvulus, without requiring bowel resection during pregnancy, have been reported [11][12][13]. More commonly, resection of the affected necrotic small bowel has been reported [2,8,14,15]. Timely diagnosis depends on maintaining a high degree of suspicion and conventional imaging studies which will depict the bowel obstruction, yet not the precise volvulus.…”

Section: Discussionmentioning

confidence: 99%

“…The leading cause of this condition in both pregnant and nonpregnant women are adhesions, usually resulting from previous surgery [1,2]. The second most common etiology of bowel obstruction during pregnancy is volvulus, defined as rotation of the bowel around the mesenteric axis, occluding both the bowel lumen and its vascular pedicle.…”

Section: Discussionmentioning

confidence: 99%

“…As pregnancy progresses, the bowel undergoes gradual cephalad displacement [3]. Although infrequent, bowel obstruction during pregnancy most commonly results from previous laparotomy adhesions or volvulus [1,2]. We present an unusual case in which cesarean delivery at 26 weeks of gestation was complicated 8 days later by volvulus of the small bowel necessitating laparotomy for detorsion of the terminal ileum.…”

Section: Introductionmentioning

confidence: 99%

“…Intestinal obstruction is an unusual complication of pregnancy [1,2]. As pregnancy progresses, the bowel undergoes gradual cephalad displacement [3].…”

Section: Introductionmentioning

confidence: 99%

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Postcesarean Small Bowel Volvulus

Sherer

Abulafia

2001

Gynecol Obstet Invest

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Volvulus is an uncommon cause of bowel obstruction during pregnancy. We present an unusual case in which cesarean delivery at 26 weeks of gestation was complicated by volvulus of the small bowel 1 week following delivery. At laparotomy, detorsion of the loop of the terminal ileum sufficed, and bowel resection was not required. We review the literature pertaining to volvulus of the bowel during pregnancy and discuss recent new diagnostic imaging modalities for midgut volvulus, which may assist early noninvasive diagnosis of this condition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Intestinal obstruction is an unusual complication of pregnancy [1,2]. As pregnancy progresses, the bowel undergoes gradual cephalad displacement [3].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Postcesarean Small Bowel Volvulus

Sherer

Abulafia

2001

Gynecol Obstet Invest

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Ileal resection for gangrenous ileal volvulus in a term pregnancy: a case report

Baykal

Özer

et al. 2005

Arch Gynecol Obstet

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Small bowel obstruction after caesarean section: Laparoscopic management. Two case reports

Buono

Ricupati

Maienza

et al. 2020

International Journal of Surgery Case Reports

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Introduction Caesarean section is the most common abdominal surgery performed on women worldwide. Adhesions represent a severe complication of cesarean section and can cause different degrees of bowel obstruction. Case reports We report two unusual cases of small bowel obstruction treated with laparoscopic approach after caesarean section performed for gynecological pathologies. In the first one small bowel obstruction was due to volvulus caused by a severe pelvic adhesion syndrome; in the second one, occlusive picture was related to presence of multiple adhesion phenomena between the sigmoid colon and the right ovary as result of abdominal hysterectomy. Discussion The incidence of small bowel obstruction after caesarean section is very low and postoperative adhesions represent the main cause. Diagnosis was established by clinical signs, radiological and intraoperative findings. Laparoscopic approach can be the treatment of choice only in selected patients. In presence of dense adhesions, inability to visualize the site of obstruction, iatrogenic intestinal perforation, bowel necrosis and technical difficulties, conversion to open surgery is mandatory. Conclusion In selected patients with small bowel obstruction laparoscopy is a safe and feasible procedure if conservative measures fail.

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Primary volvulus of the small bowel following normal delivery

Cited by 6 publications

References 6 publications

Postcesarean Small Bowel Volvulus

Postcesarean Small Bowel Volvulus

Ileal resection for gangrenous ileal volvulus in a term pregnancy: a case report

Small bowel obstruction after caesarean section: Laparoscopic management. Two case reports

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