Damore L J, Damore T H, Longo W E, Miller T A
Department of Surgery, St. Louis University Health Sciences Center, Missouri, USA.
J Reprod Med. 1997 Dec;42(12):805-8.
Intestinal obstruction in pregnancy is rare. The mortality rate is higher during pregnancy than in the general population and applies to fetal as well as maternal survival. Major causes of intestinal obstruction in the pregnant women include adhesions, volvulus and intussusception.
A 27-year-old woman, gravida 2, para 1, estimated gestational age approximately 26 weeks, with a high-level, complete small bowel obstruction. The patient failed a trial of conservative management and required laparotomy, at which time a congenital malrotation was found. She was treated successfully with a modified Ladd's procedure. There was no maternal or fetal morbidity.
This case represents an extremely rare cause of bowel obstruction in pregnancy; a paucity of such cases have been reported.
妊娠期肠梗阻较为罕见。孕期的死亡率高于一般人群，且对胎儿及母体的存活均有影响。孕妇肠梗阻的主要原因包括粘连、肠扭转和肠套叠。
一名27岁女性，孕2产1，估计孕周约26周，患有高位完全性小肠梗阻。患者保守治疗试验失败，需要进行剖腹手术，术中发现先天性肠旋转不良。她接受了改良的Ladd手术并成功治愈。无母体或胎儿并发症。
本病例代表了妊娠期肠梗阻一种极其罕见的病因；此类病例报道较少。
