Brief clinical report| Volume 81, ISSUE 3, P353-356, March 1977

Midgut volvulus with secondary thrombosis of superior mesenteric vessels in a pregnant woman

      This paper is only available as a PDF. To read, Please Download here.


      An anomaly of the position of the midgut in a pregnant woman predisposes to volvulus. Vascular repair, despite the abdominal catastrophe, sometimes allows parts of the intestine to be saved. A case of volvulus in a pregnant woman is described. At operation, 18 hours after onset, two anomalies were found: reverse rotation of the midgut and an anomaly of the collecting system of the superior mesenteric vein. Most of the midgut was infarcted. Thrombi were removed from the superior mesenteric vessels, and a portion of the anomalous superior mesenteric vein was reconstructed. All but 3 M. of the small bowel and the entire right colon were resected. Prolonged treatment with parenteral hyperalimentation enabled us to control the appearance of a moderate degree of malabsorption. To our knowledge, no similar case has been reported previously in the literature.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Bergentz S.E.
        • Ericason B.
        • Hedner U.
        • et al.
        Thrombosis in the superior mesenteric and portal veins. Report of a case treated with thrombectomy.
        Surgery. 1974; 76: 286
        • Blair J.H.
        Intestinal obstruction in late pregnancy, A report of two cases.
        Am. J. Obstet. Gynecol. 1973; 117: 177
        • Blough J.B.
        • Smith P.D.
        Malrotation of midgut associated with absence of superior mesenteric vein outflow.
        Am. J. Surg. 1964; 108: 409
        • Byström J.
        • Backman L.
        • Dencker H.
        • et al.
        Volvulus of caecum.
        Acta Chir. Scand. 1972; 138: 624
        • Gardner G.E.
        The surgical significance of anomalies of intestinal rotation.
        Ann. Surg. 1950; 131: 879
        • Glotzer D.J.
        • Glotzer P.H.
        Super mesenteric embolectomy.
        Arch. Surg. 1966; 93: 421
        • Harer W.B.
        Intestinal obstruction associated with pregnancy.
        Am. J. Obstet. Gynecol. 1962; 19: 11
        • Harer W.B.
        • Harer W.B.
        Volvulus complicating pregnancy and puerperium.
        Obstet. Gynecol. 1958; 12: 399
        • Laufman H.
        • Nora P.
        • Mittelpunkt A.L.
        Mesenteric blood vessels. Advances in surgery and physiology.
        Arch. Surg. 1964; 88: 1021
        • Mavor G.E.
        Superior mesenteric artery stenosis treated by illiac mesenteric arterial bypass.
        Lancet. 1962; 2: 1143
        • Mavor G.E.
        Acute occlusion of the superior mesenteric artery.
        Clinics in gastroenterology. 1972; 1: 639
        • Ottinger L.W.
        • Austen G.W.
        A study of 136 patients with mesenteric infarction.
        Surg. Gynecol. Obstet. 1967; 124: 251
        • Smith S.L.
        Familial midgut volvulus.
        Surgery. 1972; 72: 420
        • Urichio J.F.
        • Calenda D.G.
        • Freedman D.
        Mesenteric vascular occlusion. An analysis of 13 cases with a report of 2 cases with survival following extensive intestinal resection.
        Ann. Surg. 1954; 139: 206
        • Weston P.V.
        • Lindheimer H.D.
        Intermittent intestinal obstruction simulating hyperemesis gravidorum.
        Obstet. Gynecol. 1971; 37: 106
        • Williams L.F.
        Vascular insufficiency of the intestine.
        Gastroenterology. 1971; 61: 757