Midgut Volvulus in a Pregnant Patient Presenting With Abdominal Pain

ACG Case Rep J. 2023 Feb 9;10(2):e00983. doi: 10.14309/crj.0000000000000983. eCollection 2023 Feb.

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.

Keywords: bowel obstruction; midgut volvulus; pregnancy; third trimester.

Publication types

  • Case Reports