Document Detail

Intestinal obstruction complicating pregnancy.
MedLine Citation:
PMID:  1415949     Owner:  NLM     Status:  MEDLINE    
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.
P W Perdue; H W Johnson; P W Stafford
Related Documents :
11260549 - A woman with umbilical inflammation continuing for 9 years after delivery.
17139169 - Advanced combined abdominal and intrauterine pregnancy: a case report.
9394169 - The cantrell-sequence: a result of maternal exposure to aminopropionitriles?
17436319 - Intima-media thickness of the abdominal aorta of neonate with different gestational ages.
14972289 - A review of laparoscopy for non-obstetric-related surgery during pregnancy.
18394189 - Valsalva retinopathy in pregnancy: a case report.
20218999 - Mifepristone and second trimester pregnancy termination for fetal abnormality in wester...
17676619 - Ductus venosus blood flow resistance and congenital heart defects in the second trimester.
16462559 - Traumatic wound debridement: a comparison of irrigation methods.
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    
Department of General Surgery, National Naval Medical Center, Bethesda, Maryland 20889.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Intestinal Obstruction* / diagnosis,  etiology,  therapy
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.