Volvulus in Pregnancy: A Diagnostic Dilemma

我們報告一例罕見懷孕合併腸扭結的個案，此患者懷孕27週，因急性右下腹疼痛，懷疑急性腹膜炎而接受手術治療，術中發現中段迴腸扭結，術後患者恢復良好，足月產下一子，懷孕期間因胎兒佔據骨盆腔的空間，較容易發生腸扭結，妊娠期間的急性腹痛原因因不易診斷，但倘若延遲治療可能造成嚴重併發症甚至死亡，我們提出這個個案，是為了提醒產科醫師，注意妊娠期間少見腹痛之原因。

關鍵字

阻塞；懷孕；腸子扭結

並列摘要

In this case report, we describe a pregnant female patient at 27 weeks' gestation with a rare complication of volvulus. Her initial symptom was acute cramping pain of the lower right abdomen. Surgical intervention was performed under the impression of peritonitis. Pathologic diagnosis revealed volvulus of the mid ileum. The remainder of her pregnancy was uneventful. The physiologic changes of pregnancy may predispose the parturient to bowel obstruction due to compression of the gravid uterus against the intestine. If volvulus is suspected, then emergent surgery should be performed. Delays in treatment may result in septic shock and even death. We present this case to remind obstetricians of such rare causes of acute abdomen during pregnancy.

並列關鍵字

obstruction ； pregnancy ； volvulus

國際替代計量

Volvulus in Pregnancy: A Diagnostic Dilemma

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