Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome
Joint Authors
Udigwe, Gerald Okanandu
Eleje, George Uchenna
Ihekwoaba, Eric Chukwudi
Udegbunam, Onyebuchi Izuchukwu
Egeonu, Richard Obinwanne
Okwuosa, Ayodele Obianuju
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-26
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Acute intestinal obstruction during pregnancy is a very challenging and unusual nonobstetric surgical entity often linked with considerable fetomaternal morbidity and mortality.
When it is synchronous with abdominal pregnancy, it is even rarer.
Case Presentation.
A 28-year-old lady in her second pregnancy was referred to Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria, at 27 weeks of gestation due to vomiting, constipation, and abdominal pain.
Examination and ultrasound scan revealed a single live intra-abdominal extrauterine fetus.
Plain abdominal X-ray was diagnostic of intestinal obstruction.
Conservative treatment was successful till the 34-week gestational age when she had exploratory laparotomy.
At surgery, the amniotic sac was intact and the placenta was found to be adherent to the gut.
There was also a live female baby with birth weight of 2.3 kg and Apgar scores of 9 and 10 in the 1st and 5th minutes, respectively, with the baby having right clubbed foot.
Adhesiolysis and right adnexectomy were done.
The mother and her baby were well and were discharged home nine days postoperatively.
Conclusion.
To the best of our knowledge, this is the first report of abdominal pregnancy as the cause of acute intestinal obstruction in the published literature.
Management approach is multidisciplinary.
American Psychological Association (APA)
Udigwe, Gerald Okanandu& Eleje, George Uchenna& Ihekwoaba, Eric Chukwudi& Udegbunam, Onyebuchi Izuchukwu& Egeonu, Richard Obinwanne& Okwuosa, Ayodele Obianuju. 2016. Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome. Case Reports in Obstetrics and Gynecology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101502
Modern Language Association (MLA)
Udigwe, Gerald Okanandu…[et al.]. Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome. Case Reports in Obstetrics and Gynecology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101502
American Medical Association (AMA)
Udigwe, Gerald Okanandu& Eleje, George Uchenna& Ihekwoaba, Eric Chukwudi& Udegbunam, Onyebuchi Izuchukwu& Egeonu, Richard Obinwanne& Okwuosa, Ayodele Obianuju. Acute Intestinal Obstruction Complicating Abdominal Pregnancy: Conservative Management and Successful Outcome. Case Reports in Obstetrics and Gynecology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101502
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101502