Small-Bowel Intussusception in a Pregnant Woman: A Case Report

Intussusception usually is associated with children, rarely with adults. A 42-year-old pregnant woman (29 weeks' gestation) reported mild pain in the upper aspect of the abdomen after an intense physical effort. Ultrasound examination found a normally evolving pregnancy and a bowel obstacle, wi...

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Bibliographic Details
Published in:	Permanente journal Vol. 21; no. 3; pp. 16 - 179
Main Authors:	Covali, Roxana, Ambrosie, Lucian, Onofriescu, Micea, Luca, Alexandru, Dumachita-Sargu, Gabriela, Aursulesei, Violeta, Gafitanu, Dumitru
Format:	Journal Article
Language:	English
Published:	United States The Permanente Journal 2017
Subjects:	Adult Clinical Medicine Female Humans Intestine, Small - diagnostic imaging Intestine, Small - pathology Intestine, Small - surgery Intussusception - diagnostic imaging Intussusception - pathology Intussusception - surgery Necrosis - pathology Necrosis - surgery Postpartum Period Pregnancy Pregnancy Complications - diagnostic imaging Pregnancy Complications - pathology Ultrasonography
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Summary:	Intussusception usually is associated with children, rarely with adults. A 42-year-old pregnant woman (29 weeks' gestation) reported mild pain in the upper aspect of the abdomen after an intense physical effort. Ultrasound examination found a normally evolving pregnancy and a bowel obstacle, without bowel distention. Because it was not a surgical emergency at the time of evaluation, she was sent to the hospital's Obstetrics Department. The patient's symptoms worsened the next day. Ultrasound examination revealed dilated bowel loops and free fluid. Strangulated epigastric hernia was suspected. Computed tomography was not performed. Exploratory laparotomy revealed a small-bowel intussusception, which was successfully manually reduced, and no leading point was found. Four days later, she delivered a premature baby boy. Two days later the necrotized reduced ileal loop had to be surgically removed because of the patient's altered status. After this procedure, the patient's recovery was uneventful. To our knowledge, this is the first case of small-bowel intussusception in a pregnant woman reported in the literature.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1552-5767 1552-5775
DOI:	10.7812/TPP/16-179