Department of Obstetrics and Gynaecology, The Northern Hospital, Epping, Victoria, Australia
Department of General Surgery, The Northern Hospital, Epping, Victoria, Australia.
BMJ Case Rep. 2020 May 14;13(5):e234664. doi: 10.1136/bcr-2020-234664.
Midgut volvulus complicating congenital malrotation is a rare but life-threatening condition that can occur in pregnancy. We present a case of intestinal infarction resulting from midgut volvulus in a healthy 32-week pregnant woman who underwent emergency laparotomy and small bowel resection in the setting of fetal death in utero. This case highlights several challenging issues in diagnosing and managing this uncommon condition which leads to increased adverse perinatal outcomes. Prompt investigation and definitive surgical treatment are required when pregnant women present with bilious vomiting and new-onset abdominal or back pain especially beyond the first trimester.
中肠旋转不良合并先天性旋转不良是一种罕见但危及生命的疾病，可发生在妊娠期间。我们报告了一例健康 32 周孕妇的病例，该孕妇因胎儿宫内死亡而接受了紧急剖腹手术和小肠切除术，由于中肠旋转不良导致肠梗死。本病例强调了在诊断和处理这种不常见疾病时存在的几个挑战问题，这会导致围产期不良结局增加。当孕妇出现胆汁性呕吐和新出现的腹痛或背痛（尤其是在孕早期之后）时，需要进行及时的调查和明确的手术治疗。
