Document Detail

Large bowel obstruction in pregnancy: a rare entity, an unusual cause.
MedLine Citation:
PMID:  18437404     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Large bowel obstruction is a rare and difficult diagnosis in pregnancy. Common causes are caecal and sigmoid volvulus and less common pseudo-obstruction. An infrequent cause of large bowel obstruction from an adhesive band in pregnancy causing diagnostic difficulty is reported. METHODS: Report of an unusual cause of large bowel obstruction in pregnancy. RESULTS: Diagnostic colonoscopy confirmed large bowel obstruction at the level of sigmoid. Laparotomy revealed this to be from a single band adhesion originating from the site of previous appendicectomy. Division of the band resolved the obstruction. CONCLUSIONS: A high index of suspicion is necessary for the diagnosis of large bowel obstruction in pregnancy especially in women with previous history of abdominal or pelvic surgery. Colonoscopy is helpful avoiding radiation to foetus and mother. Prompt surgical intervention reduces risks and maximises chances for a favourable outcome for both mother and child.
Muhammad S Mirza; Mubashir Mulla; Richard I Hall
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-24
Journal Detail:
Title:  Archives of gynecology and obstetrics     Volume:  279     ISSN:  1432-0711     ISO Abbreviation:  Arch. Gynecol. Obstet.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2008-12-31     Completed Date:  2009-04-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710213     Medline TA:  Arch Gynecol Obstet     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  177-8     Citation Subset:  IM    
Department of General Surgery, Derby City General Hospital, Uttoxeter Road, Derby, UK.
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MeSH Terms
Abdominal Pain
Appendectomy / adverse effects
Diagnosis, Differential
Gestational Age
Intestinal Obstruction / diagnosis*,  etiology,  surgery
Pregnancy Complications / diagnosis*,  surgery
Sigmoid Diseases / etiology,  surgery
Tissue Adhesions / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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