A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management
Authors: Bhavesh Shelke, Rafique Umer Harvitkar, Abhijit Joshi
Background: Intestinal obstruction due to right paraduodenal hernia in early postpartum period is rare. There is only one published case report on left-sided paraduodenal hernia (PDH) in early postpartum period, which was treated by open surgery [1]. However, we would like to present first ever case of right-sided PDH causing acute small bowel obstruction in early postpartum period, which was treated laparoscopically. Case Presentation: Our patient was a 29-year-old female who had undergone full-term normal delivery 4 days prior. She presented with acute small bowel obstruction to the emergency ward. Right PDH was diagnosed on contrast-enhanced abdominal computed tomography. She underwent laparoscopic repair. Right PDH is a congenital condition caused by incomplete rotation of the midgut in early embryological developmental phase. In our patient, increased intra-abdominal pressure during gestation probably forced more and more bowel loops to enter and get entrapped into the pre-existing defect. Conclusion: Right PDH is a rare entity and can rarely cause acute intestinal obstruction in immediate postpartum period.
Keywords: Right and left paraduodenal hernia, Intestinal obstruction, Postpartum, Midgut rotation
Authors
Correspondence to:
Bhavesh Shelke, Resident in Department of General & Laparoscopic Surgery, DR L H Hiranandani Hospital, Mumbai, India bhaveshshelke2641989@gmail.com
Publication history:
Received 30 Jun 2020
Revised 24 Oct 2020
Accepted 24 Oct 2020
Published online 24 Dec 2020
Published in print 29 Dec 2020
Shelke B, Harvitkar RU, Joshi A. A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. EJMCR. 2020; 4(12): 436-440. doi:
10.24911/ejmcr/173-1593452186
Shelke B, Harvitkar RU, Joshi A. A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. https://www.ejmcr.com/?mno=95265 [Access: April 23, 2024]. doi:
10.24911/ejmcr/173-1593452186
Shelke B, Harvitkar RU, Joshi A. A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. EJMCR. 2020; 4(12): 436-440. doi:
10.24911/ejmcr/173-1593452186
Shelke B, Harvitkar RU, Joshi A. A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. EJMCR. (2020), [cited April 23, 2024]; 4(12): 436-440. doi:
10.24911/ejmcr/173-1593452186
Shelke, B., Harvitkar, . R. U. & Joshi, . A. (2020) A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. EJMCR, 4 (12), 436-440. doi:
10.24911/ejmcr/173-1593452186
Shelke, Bhavesh, Rafique Umer Harvitkar, and Abhijit Joshi. 2020. A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. European Journal of Medical Case Reports, 4 (12), 436-440. doi:
10.24911/ejmcr/173-1593452186
Shelke, Bhavesh, Rafique Umer Harvitkar, and Abhijit Joshi. "A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management." European Journal of Medical Case Reports 4 (2020), 436-440. doi:
10.24911/ejmcr/173-1593452186
Shelke, Bhavesh, Rafique Umer Harvitkar, and Abhijit Joshi. "A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management." European Journal of Medical Case Reports 4.12 (2020), 436-440. Print. doi:
10.24911/ejmcr/173-1593452186
Shelke, B., Harvitkar, . R. U. & Joshi, . A. (2020) A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. European Journal of Medical Case Reports, 4 (12), 436-440. doi:
10.24911/ejmcr/173-1593452186