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

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

DOI:https://doi.org/10.5555/uri:pii:0039606077902434
Midgut volvulus with secondary thrombosis of superior mesenteric vessels in a pregnant woman
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      Abstract

      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.
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      Article info

      Publication history

      Accepted: April 14, 1976

      Identification

      DOI: https://doi.org/10.5555/uri:pii:0039606077902434

      Copyright

      © 1977 Published by Elsevier Inc.

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