Intussusception in Pregnancy - A Rarely Considered Diagnosis

Osime O.C, Onakewhor J, Irowa O.O

Abstract

Intussusception in pregnancy is rare and making a preoperative diagnosis is extremely difficult. The objective of this paper is to report a case of intussusception in a pregnant woman and to review the literature on the subject with a view to highlighting the peculiarities of this condition. The case file of a 26 year old Gravida 3, Para 0+2 lady who had appendectomy 5 years earlier and now presented at 33 weeks of gestation with features of intestinal obstruction was evaluated. Ultrasound scan showed dilated bowel loops suggestive of intestinal obstruction. At operation, an ileo-ileal intussusception was found without a lead point. Histology of the resected bowel segment showed haemorrhagic infarction without evidence of malignancy.  Even though bands and adhesions are the commonest causes of intestinal obstruction in a patient that has had a previous abdominal surgery, possibility of other aetiological factors should always be considered (Afr J Reprod Health 2010; 14[1]:145-148).

 

RĖSUMĖ

 

Intussusception pendant la grossesse : Un compte rendu. L’intussusception dans pendant la est peu commun et la diagnostic préopératif est extrêmement difficile. Cet article a pour but de rapporter un cas d’intussusception chez une femme enceinte et de passer en revue la littérature sur le sujet en vue de mettre l’accent sur les particularités de cet état.  Nous avons évalué le dossier d’une jeune femme de 26 ans (gravide 3, nullipare 0 + 2) qui a su l’appendicectomie cinq ans plus tôt et qui maintenant présente après 33 semaines de gestation, les traits de l’occlusion intestinale.  Au cours de l’intervention chirurgicale on a découvert une intussusception iléo-iléale sans point de dérivation.  L’histologie du segment de l’intestin réséque a montré l’infarctus hémorragique sans l’évidence de la malignité.  Bien que les brides et les adhésions constituent les causes les plus communes de l’occlusion intestinale chez une patiente qui ont déjà subi une intervention chirurgicale, il faut considérer la possibilité d’autres facteurs étiologiques (Afr J Reprod Health 2010; 14[1]:145-148).

 

 

 

KEYWORDS: Intussusception, Pregnancy, Previous abdominal surgery, difficult diagnosis.  

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