Authors: C Mamatha, M. G. Dhanalakshmi, K.S. Rajeswari
The detection of small bowel volvulus becomes strenous as the symptoms resemble the pregnancy related symptoms. Early recognition of small bowel obstruction in pregnancy is cruial for affording a timely intervention as it is related with high maternal morbidity and mortality. We report a successful management of a 37 year old second gravida at 12 weeks of gestation who presented to us with acute pain abdomen and vomiting. Ultrasound abdomen revealed dilated bowel loops with inter loop fluid collection and sluggish bowel peristalsis. Diagnostic laparoscopy was proceeded which revealed a gangrenous ileal volvulus. The patient underwent a successful right limited hemicolectomy. Her Antenatal period was uneventful and she delivered a live term healthy baby. Keywords: Small bowel obstruction, Ileal volvulus, Gangrenous bowel, Acute pain abdomen, Laparotomy.
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