Bowel obstruction and perforation during pregnancy: Case report and literature review

Ming Ta Chuang, Ta Sheng Chen

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Bowel perforation during pregnancy is a rare but life-threatening situation, and the management remained uncertain. We presented a case in our hospital and reviewed literatures to provide a guidance to deal with this challenging situation. Case report: A case at gestational age 26 weeks and 4 days, who had bowel perforation over previous ileo-colonic anastomosis site. The fetus was delivered via cesarean section after 1 week of operation and both were discharged without major complication at 35 days after delivery. We searched Pubmed and reviewed 15 English literatures and make a discussion. Conclusion: A simultaneous cesarean section could be considered if the gestational age was large enough to avoid the comorbidity of preterm birth or the maternal risk of sepsis outweigh the risk of preterm birth. Otherwise, tocolysis should be used in an attempt to delay delivery until the antenatal corticosteroids have worked.

Original languageEnglish
Pages (from-to)927-930
Number of pages4
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume60
Issue number5
DOIs
Publication statusPublished - 2021 Sep

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

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