Midgut Volvulus in a Pregnant Patient Presenting With Abdominal Pain. Issue 2 (9th February 2023)

• Record Type: Journal Article
• Authors: Scalzo, Nicholas; Lin, Zilan X.; Yick, Frederick; Tewari, Virendra
• Is Part Of: ACG Case Reports Journal. Volume 10:Issue 2(2023)
• Page Start: e00983
• Publication Date: 2023-02-09
• Subjects: bowel obstruction -- midgut volvulus -- pregnancy -- third trimester
• DOI: 10.14309/crj.0000000000000983
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT: Abdominal pain is a common symptom during pregnancy, but bowel obstruction as the cause is a rare phenomenon. Moreover, intestinal volvulus is an even more unusual cause of obstruction during pregnancy and normally involves the sigmoid colon. We report a unique case of midgut volvulus in a pregnant patient entering her third trimester who presented to the hospital with abdominal pain. Our case demonstrates the safety of computed topography in pregnancy while restricting radiation dose and highlights the need to have a high index of suspicion for bowel obstruction when approaching a pregnant patient with abdominal pain.