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在分娩期间处理乙状结肠扭转:一种具有挑战性的情况。

Management of sigmoid volvulus during labor : a challenging situation.

机构信息

Cadi Ayyad University - Faculty of medicine and pharmacy of Marrakech.

出版信息

Malawi Med J. 2022 Jun;34(2):151-153. doi: 10.4314/mmj.v34i2.12.

Abstract

Acute intestinal obstruction is rare during pregnancy. Its diagnosis is difficult because the symptoms can be minimal and mimic signs of a regular pregnancy. Sigmoid volvulus is a common cause of these obstructions. The management is challenging because it depends on many factors, and affects maternal-fetal outcomes. We report a case of a 32-year-old woman with sigmoid volvulus associated with fetal demise that came during labor and we discuss the management options.

摘要

妊娠期急性肠梗阻少见,因其症状轻微,易与正常妊娠相混淆,故诊断困难。乙状结肠扭转是导致这些梗阻的常见原因。其处理具有挑战性,因为它取决于许多因素,并影响母婴结局。我们报告了一例 32 岁孕妇,因乙状结肠扭转导致胎儿死亡,且在分娩期间发病,我们讨论了处理选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/9356521/e2dd903e93f5/MMJ3402-0151Fig1.jpg

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