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#1 Bowel obstruction during pregnancy

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Bowel obstruction during pregnancy

Just a few days shy of being 28 weeks pregnant I got a bowel obstruction. Intestinal blockages are something I dealt with during my first pregnancy which resulting in my son being born at almost 36 weeks. This time, the issue came up Bowel obstruction during pregnancy full month before it had my previous pregnancy, which really threw me off. I had prepared for the possibility of a blockage and had determined to switch up my diet at 30 weeks, in hopes of preventing one from occurring, but obviously this one did not wait that long. I duringg Bowel obstruction during pregnancy in the morning feeling horrible and I called my mom to pick up my son because I knew I would not be able to take care of him. I was hopeful that with some bowel rest, physical rest and hydrating that things might start to clear up. I was actually a little unsure as to whether obstuction not Bowel obstruction during pregnancy was a bowel obstruction because of where the pain was. With my first pregnancy, the obstruction was just a few inches from my stoma, so the pain was concentrated in durin lower Asian black girl guy portion of my stomach. This time, it was across the top of my stomach. I ended up spending the entire day in bed, Tips for being anorexic things only felt worse as the day went on. I was in pain, throwing up, and could hardly stand up. There were lots of tests those first few days, which included Bowel obstruction during pregnancy couple of X-rays and a CT scan. As a pregnant woman, this is a difficult decision to make on how to handle the need for radiation, as it can be harmful to the baby. I still...

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We present the case of a year-old woman admitted at 38 weeks and 3 days gestation with a rare cause of bowel obstruction. Definitive diagnosis was not made until laparotomy. We present the unique management challenges posed and a review of the literature. Abdominal pain is common in pregnancy, with a wide differential diagnosis. Obstetric causes include ruptured ectopic, premature labour and placental abruption. General causes include appendicitis, cholecystitis, bowel obstruction and urinary tract infection [ 1 ]. Bowel obstruction complicates about 1 in pregnancies, most commonly in the third trimester. Adhesions are the commonest cause of small bowel obstruction, while large bowel obstruction can be caused by malignancy, diverticular disease and volvulus [ 1 ]. Abdominal pain in pregnancy presents a unique diagnostic challenge. The enlarging gravid uterus complicates the physical examination. Furthermore, clinicians are reluctant to use tests such as computed tomography because of radiation risk to the foetus [ 1 ]. A year-old primigravid Caucasian female presented at 38 weeks and 3 days gestation with h of abdominal pain, nausea and vomiting. She continued to pass flatus and had opened her bowels the day before. Past medical history included polycystic ovarian syndrome and right donor hepatectomy 6 years prior in a living-related liver transplant. She took no regular medications, had no allergies and did not smoke or drink alcohol. On assessment, she appeared to be uncomfortable and had a tympanitic abdomen, which was generally tender but soft to palpation with scant bowel sounds. Vital signs were normal and fundal height was appropriate for gestational age. Urinalysis was negative for infection, pelvic examination was unremarkable and cardiotocography showed a reassuring foetal trace. Rectal examination showed an empty vault with no masses and was negative for occult blood. Haemoglobin, electrolytes, renal and liver function tests and lactate were normal....

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Unlike liver disease, there are no gastrointestinal diseases specifically caused by pregnancy. However, pregnancy may complicate most gastrointestinal diseases, particularly gastroesophageal reflux and inflammatory bowel disease. In addition, gastrointestinal symptoms are extremely common in the pregnant patient. These changes may cause new symptoms, worsen preexisting disease, or mask potentially deadly disease. A lack of experience in dealing with these symptoms can have devastating effects. The physician must be able to distinguish whether these symptoms are those of normal pregnancy or a potentially life-threatening complication such as preeclampsia. The physician must also know which medications are safe in pregnancy, as well as which tests are safe to perform during pregnancy. Often a team approach is necessary to optimize the care of the pregnant patient with gastrointestinal symptoms. A comprehensive discussion of all the physiologic changes that occur in the gastrointestinal tract during pregnancy is beyond the scope of this chapter. However, many basic physiologic alterations need to be discussed so that the physician dealing with gastrointestinal symptoms can better understand symptoms and their significance. Given the common symptoms of nausea, vomiting, and dyspepsia that occur, it is not surprising that the upper gastrointestinal tract is affected by pregnancy. The enlarging uterus displaces the stomach and may anatomically alter the pressure gradient between the abdomen and thorax. Increased pressure within the stomach allows for reflux of the gastric contents into the esophagus, which lies in the negative pressure of the intrathoracic cavity. The pressure gradient may even accentuate a hiatal hernia contributing to gastroesophageal reflux. Contributing to the increased incidence of gastroesophageal reflux are the motility changes that also occur with pregnancy. Lower esophageal sphincter tone is decreased secondary to increased progesterone levels and a decrease in the peptide hormone motilin. Gastric emptying has been partially studied in pregnancy. Nondyspeptic asymptomatic women...

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Intestinal obstruction during pregnancy is an uncommon and serious non-obstetric surgical condition which may be associated with significant maternal and fetal mortality. Surgeons who are called upon to manage these patients are often confronted with a diagnostic and therapeutic challenge due to the rarity of the condition, overlapping symptomatology, concerns over radiological evaluation and risks involved with surgery and anaesthesia. We report a year-old woman who presented with acute intestinal obstruction during the third trimester of pregnancy. Plain abdominal X-ray was diagnostic of intestinal obstruction. Conservative treatment was unsuccessful. On laparotomy, the small bowel was found to have twisted at three different sites due to adhesive bands from previous abdominal surgeries. Division of these bands released the obstruction. The child was delivered through a concomitant caesarean section. A high index of clinical suspicion coupled with timely surgical intervention increases the chances for a favourable outcome in these situations. The full text of all Editor's Choice articles and summaries of every article are free without registration. The full text of Images in Only fellows can access the full text of case reports apart from Editor's Choice - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource. Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog. Search this site Advanced search. BMJ Case Reports ; doi: Acute intestinal obstruction complicating pregnancy: Summary Intestinal obstruction during pregnancy is an uncommon and serious non-obstetric surgical condition which may be associated with significant maternal and fetal mortality. Services Email this link to a friend Alert me when this article is cited Alert me if a correction is posted...

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To receive news and publication updates for Case Reports in Obstetrics and Gynecology, enter your email address in the box below. This is an open access article distributed under the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Intestinal obstruction in pregnancy is rare and is mainly caused by prior pelvic surgery. We herein report a case of intestinal obstruction in a pregnant female with a history of laparoscopic myomectomy, who presented with hypogastric pain, abdominal distension, and vomiting at 26 weeks of gestation. A simple intestinal obstruction was diagnosed by MRI. Conservative treatments, including intravenous hyperalimentation and the placement of an ileus tube, were provided and her abdominal symptoms improved for 14 days. After restarting oral intake, she had no abdominal symptoms. Although an area of cicatrization, which was thought to have been the starting point of the occlusion that caused the intestinal obstruction, was found, the excision of the small intestine was not necessary. Her postoperative course was uneventful. Intestinal obstruction requires a prompt diagnosis and aggressive intervention may be necessary to minimize the morbidity and mortality associated with this rare complication of pregnancy. MRI can be safely used during pregnancy to diagnose intestinal obstruction and intravenous hyperalimentation may improve the maternal and fetal prognoses. Intestinal obstruction in pregnancy is rare, and it is mainly caused by pelvic surgery prior to conception. The appropriate diagnosis and management of intestinal obstruction during pregnancy are of paramount importance, as it is associated with significant maternal and fetal mortality [ 1 ]. The diagnosis and treatment of intestinal obstruction in pregnant patients are similar to those in the nonpregnant patients [ 2 ]. Pregnant women with an inadequate oral intake or underlying disease states that require complete...

Bowel obstruction during pregnancy

INTRODUCTION

Dec 1, - Adhesions are the commonest cause of small bowel obstruction, while large bowel obstruction can be caused by malignancy, diverticular  ‎Abstract · ‎INTRODUCTION · ‎CASE REPORT · ‎DISCUSSION. Nov 3, - Intestinal obstruction in pregnancy is rare, and it is mainly caused by pelvic surgery prior to conception. The appropriate diagnosis and management of intestinal obstruction during pregnancy are of paramount importance, as it is associated with significant maternal and fetal mortality [1]. The small intestine exhibits decreased motility during pregnancy. .. The peak incidence of bowel obstruction occurs in the eighth month when the fetal head.

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