| Intestinal obstruction complicating pregnancy. | |
| | |
MedLine Citation:
|
PMID: 1415949 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Intestinal obstruction is a rare but serious complication of pregnancy with significant maternal and fetal mortality. The reported incidence of intestinal obstruction complicating pregnancy varies widely, from 1 in 66,431 to 1 in 1,500 deliveries. A retrospective review of 66 cases of intestinal obstruction complicating pregnancy and the puerperium, including 2 cases from our institution, revealed that the most common causes of mechanical obstruction were adhesions (58%), volvulus (24%), and intussusception (5%). Seventy-seven percent of the patients with obstruction due to adhesions had undergone previous abdominal or pelvic surgery. Presenting symptoms and signs were similar to those of the nonpregnant patient; abdominal pain was present in 98% of patients, vomiting in 82%, and tenderness to palpation in 71%. In 82% of patients, obstruction was evident on radiographic evaluation. Prompt management of obstruction is essential; the median length of time from admission to laparotomy in the 66 patients was 48 hours. Bowel strangulation requiring resection was present in 23% of patients. Thirty-eight percent of patients completed term pregnancies after operative resolution of obstruction; total maternal mortality was 6%, and total fetal mortality 26%. Thus, both mother and fetus are at risk when intestinal obstruction complicates pregnancy. Clinical suspicion of the presence of obstruction and aggressive intervention are required to decrease the morbidity and mortality of this rare complication of pregnancy. |
| | |
Authors:
|
P W Perdue; H W Johnson; P W Stafford |
Related Documents
:
|
1539899 - Ruptured ectopic pregnancy in a patient with a recent intrauterine abortion. 17301669 - Gastroschisis: incidence, complications, and clinical management in the neonatal intens... 10365569 - A case of advanced viable extrauterine pregnancy. 480319 - A high incidence of abdominal pregnancy in the djungarian hamster (phodopus sungorus). 9394169 - The cantrell-sequence: a result of maternal exposure to aminopropionitriles? 9604539 - Amoebic liver abscess in pregnancy: report of two cases. 2586949 - What is the significance of the human chorionic gonadotropin value in ectopic pregnancy? 15755839 - Changes in basal metabolic rate during pregnancy in relation to changes in body weight ... 440669 - Placental histopathology of midtrimester termination. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: American journal of surgery Volume: 164 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1992 Oct |
Date Detail:
|
Created Date: 1992-10-29 Completed Date: 1992-10-29 Revised Date: 2005-11-16 |
Medline Journal Info:
|
Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 384-8 Citation Subset: AIM; IM |
Affiliation:
|
Department of General Surgery, National Naval Medical Center, Bethesda, Maryland 20889. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Female Humans Intestinal Obstruction* / diagnosis, etiology, therapy Pregnancy Pregnancy Complications* / diagnosis, etiology, therapy Puerperal Disorders / diagnosis, etiology, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Composite resident work week.
Next Document: Molecular mechanisms of tumor formation.