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Text
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URL Address
<a href="http://doi.org/10.1097/AOG.0b013e3181989578" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/AOG.0b013e3181989578</a>
Pages
475–477
Issue
2
Volume
114
Dublin Core
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Title
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Cecal volvulus in a multiple-gestation pregnancy.
Publisher
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Obstetrics and gynecology
Date
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2009
2009-08
Subject
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*Pregnancy; Adult; Cecal Diseases – Diagnosis; Cecal Diseases – Surgery; Cecal Diseases/*diagnosis/surgery; Female; Humans; Intestinal Obstruction – Diagnosis; Intestinal Obstruction – Surgery; Intestinal Volvulus/*diagnosis/surgery; Multiple; Pregnancy; Pregnancy Complications – Diagnosis; Pregnancy Complications – Surgery; Pregnancy Complications/*diagnosis/surgery; Twins
Creator
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Chase Daniel M; Sparks Dorothy A; Dawood Murtaza Y; Perry Earnest
Description
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BACKGROUND: Intestinal obstruction during pregnancy is rare, with volvulus being responsible for about 25% of cases. CASE: We present a case in which a woman in the 12th week of a twin gestation presented with abdominal pain and distension. She was initially diagnosed with an ileus, and radiological studies at the time were deferred. The patient's symptoms worsened, and eventually she was taken to surgery for a diagnostic laparoscopy, which revealed a cecal volvulus with ischemic changes. A right hemicolectomy with primary anastomosis was performed. CONCLUSION: Volvulus in pregnancy carries a high mortality rate, often because diagnosis is delayed due to avoidance of radiography and because of similarity of symptoms to other clinical entities. A high index of suspicion for volvulus must be maintained when a pregnant patient presents with obstructive symptoms. Abdominal radiographs may be justified in aiding the diagnosis, and diagnostic laparoscopy is a viable alternative when the patient has an acute abdomen.
Identifier
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<a href="http://doi.org/10.1097/AOG.0b013e3181989578" target="_blank" rel="noreferrer noopener">10.1097/AOG.0b013e3181989578</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Pregnancy
2009
Adult
Cecal Diseases – Diagnosis
Cecal Diseases – Surgery
Cecal Diseases/*diagnosis/surgery
Chase Daniel M
Dawood Murtaza Y
Female
Humans
Intestinal Obstruction – Diagnosis
Intestinal Obstruction – Surgery
Intestinal Volvulus/*diagnosis/surgery
Multiple
Obstetrics and gynecology
Perry Earnest
Pregnancy
Pregnancy Complications – Diagnosis
Pregnancy Complications – Surgery
Pregnancy Complications/*diagnosis/surgery
Sparks Dorothy A
Twins