3 Cases of Intestinal Obstruction Complicating Pregnancy.

概要

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Intestinal obstruction during pregnancy is rare. Its symptoms are similar to those physiologically associated with pregnancy and it is difficult to perform physical examination due to the enlarged gravid uterus. Thus, the diagnosis is likely to be late, the timing of surgery is likely to be late, and the prognosis of the mother and baby tends to be poor. Three cases of intestinal obstruction during pregnancy in our department are reported. The etiologies of the 3 cases were volvulus secondary to malrotation, colon cancer and postoperative adhesions, respectively. Each case was refered to us from other obstetricians and underwent operation. Only in the third case did both the mother and baby survive. When we examine a pregnant woman with severe abdominal pain, nausea and constipation, we should always keep intestinal obstruction in mind. Especially when the patient has a history of a previous abdominal operation, we should strongly suspect intestinal obstruction secondary to adhesions. It is important for patients with intestinal obstruction during pregnancy to be diagnosed early and to undergo operation within an adequate time period.
近畿産科婦人科学会の論文