Vassiliou Ioannis, Tympa Aliki, Derpapas Michalis, Kottis Georgios, Vlahos Nikolaos
Second Department of Surgery, Aretaieion University Hospital, 76 Vas. Sofias Avenue, 11528 Athens, Greece.
Case Rep Obstet Gynecol. 2012;2012:485863. doi: 10.1155/2012/485863. Epub 2012 Dec 12.
The diagnosis of intestinal obstruction in pregnancy is difficult, as the symptoms may mimic pregnancy-associated complaints. The surgical management is challenging, as the mortality rate of midgut volvulus in pregnancy is high. We report the case of a 35-year-old woman at 21 weeks and 5 days of gestation with small bowel obstruction who presented to our institution with a 24 h history of colicky abdominal pain and nausea and who finally had a successful open repair.
妊娠期肠梗阻的诊断较为困难,因为其症状可能与妊娠相关的不适主诉相似。手术治疗也颇具挑战性,因为妊娠期肠扭转的死亡率很高。我们报告一例妊娠21周零5天的35岁女性小肠梗阻病例,该患者因24小时的绞痛性腹痛和恶心前来我院就诊,最终成功接受了开放修复手术。