%0 Journal Article
%T Volvulus of the Small Bowel Due To Malrotation During Pregnancy: A Case-report - Volvulus of the Small Bowel Due To Malrotation During Pregnancy: A Case-report - Open Access Pub
%A M. Darouichi
%A Paul E Constanthin
%J OAP | Home | Journal of Digestive Disorders And Diagnosis | Open Access Pub
%D 2017
%X Volvulus occurring during pregnancy is a rare complication, still potentially lethal nowadays for both the mother and child due to several, early arising complications. We report here a case of small bowel volvulus in a 28 weeks and 4 days, 29 years-old, pregnant woman with a past medical history of appendectomy in her childhood. Patient presented in emergency department with abdominal pain and abnormal hepatic tests. Cholangio-MRI suggested bowel obstruction due to volvulus that was confirmed by gastroscopy (showing the obstruction) and intestinal MRI. Patient was first treated by laparoscopy but, due to a very complicated abdominal status with the presence of several adhesions of the small bowel, surgery was changed to an open laparotomy, which allowed discovery and repositioning of small bowel malrotation and removal of adhesions. Both patient and the foetus were healthy after surgery and the patient was then discharged. In the light of this particularly rare case of small bowel volvulus due to malrotion, we will describe the pathology of bowel obstruction and more particularly volvulus during pregnancy and discuss its diagnosis and treatment. DOI 10.14302/issn.2574-4526.jddd-17-1497 Bowel obstruction occurring during pregnancy (with an incidence between one in 1500 and one in 66กฏ431 (Aftab et al, 2014))1 is a rare complication potentially lethal for both the mother and child. Less than a hundred cases of this pathology have been reported and its causes can be very different, one of them, but not the most frequent, being intestinal volvulus. Intestinal volvulus most frequently interests the sigmoid colon due to its modified position during pregnancy, particularly its displacement during third trimester, but other regions have been reported to be involved. Due to the rarety of this entity and the absence of any specific symptom or laboratory test, early diagnosis, as well as treatment, remains of extremely complicated despite their importance (Aftab et al, 2014)1. We report here a new case of a rare form of small bowel volvulus due to a malrotation in a 28 weeks and 4 days pregnant, 29 years-old female with a past medical history of appendicitis. We then discuss diagnosis of volvulus during pregnancy and its treatment, which both need to be initiated early during patient management to not risk a tragic outcome for both mother and child. A 28 weeks and 4 days pregnant, 29 years-old female, known for an L4-L5 discopathy and a past history of surgery for appendicitis at the age of 10 (right-positioned appendix, not perforated), consulted with vomiting
%U https://www.openaccesspub.org/jddd/article/603