Document Detail

Small bowel obstruction in a twin pregnancy due to fibroid degeneration.
MedLine Citation:
PMID:  15648716     Owner:  NLM     Status:  MEDLINE    
Small bowel obstruction in pregnancy is unusual. It is a difficult diagnosis to make, as vomiting and abdominal distension are commonly associated with pregnancy, and x-rays are avoided if possible. We present a case of small bowel obstruction caused by uterine fibroid degeneration in a 37 year old with a twin pregnancy. Following a period of observation an x-ray was performed which prompted surgical exploration, relief of the obstruction and myomectomy. This case highlights that x-ray is essential if there is a clinical suspicion of small bowel obstruction in pregnancy as delay in diagnosis can be catastrophic. As childbearing is increasingly delayed into later life it is possible that pregnancy complicated by fibroids will be seen more frequently.
D J M Macdonald; K Popli; D Byrne; K Hanretty
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Scottish medical journal     Volume:  49     ISSN:  0036-9330     ISO Abbreviation:  Scott Med J     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2005-01-14     Completed Date:  2005-03-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2983335R     Medline TA:  Scott Med J     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  159-60     Citation Subset:  IM    
Department of Orthopaedics, Western Infirmary, Glasgow.
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MeSH Terms
Intestinal Obstruction / etiology*,  surgery
Intestine, Small / surgery
Leiomyoma / complications*,  surgery
Pregnancy Complications / etiology*,  surgery
Pregnancy Outcome
Pregnancy, Multiple

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