Author(s): Wax JR, Christie TL
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Abstract BACKGROUND: Volvulus is the second most common cause of intestinal obstruction in pregnancy. Rarely is the small bowel involved, and even less frequently is the volvulus complete. CASE: The patient was referred at 24 weeks and 4 days' gestation for persistent anorexia, emesis, and abdominal distention. History, physical examination, and abdominal radiographs were consistent with a complete small-bowel obstruction. Laparotomy revealed two adhesive bands, which were lysed, and a 360 degrees volvulus of the small bowel about its mesentery, which was successfully reduced. CONCLUSION: This patient represents a case of complete small-bowel volvulus successfully treated in the second trimester by detorsion.
This article was published in Obstet Gynecol
and referenced in Journal of Addiction Research & Therapy