Delayed diagnosis of bowel infarction secondary to maternal midgut volvulus at term.


Journal Article

BACKGROUND:Intestinal volvulus is responsible for 25% of acute bowel obstructions in pregnant women but only 3-5% in nonpregnant patients. Pregnancy may hinder early diagnosis. CASE:A woman in early labor subsequently developed hypotension and a nonreassuring fetal heart rate tracing. Emergency cesarean was performed and a live infant was born. At surgery, the patient was noted to have ascites, necrotic bowel, and a congenital gut malrotation with a complete midgut volvulus. Several congenital peritoneal bands were lysed, the volvulus was reduced, and 184 cm of small bowel were resected. CONCLUSION:This patient represents a case of midgut volvulus with bowel infarction and necrosis secondary to congenital malrotation of the gut.

Full Text

Cited Authors

  • Ventura-Braswell, AM; Satin, AJ; Higby, K

Published Date

  • May 1998

Published In

Volume / Issue

  • 91 / 5 Pt 2

Start / End Page

  • 808 - 810

Pubmed Central ID

  • 9572169

Electronic International Standard Serial Number (EISSN)

  • 1873-233X

International Standard Serial Number (ISSN)

  • 0029-7844

Digital Object Identifier (DOI)

  • 10.1016/s0029-7844(97)00712-6


  • eng