EJMCR |

Case Report

Volume: 4 | Issue: 12 | Published: Dec 24, 2020 | Pages: 436 - 440 | DOI: 10.24911/ejmcr/173-1593452186

A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management

Authors: Bhavesh Shelke , Rafique Umer Harvitkar , Abhijit Joshi

Article Info

Authors

Bhavesh Shelke

Resident in Department of General & Laparoscopic Surgery, DR L H Hiranandani Hospital, Mumbai, India

Rafique Umer Harvitkar

Clinical Associate (Department of Surgery), DR L H Hiranandani Hospital, Mumbai, India

Abhijit Joshi

Consultant General, G I & Endo-Laparoscopic Surgeon. DR. L H Hiranandani Hospital, Mumbai, India

Publication History

Received: June 30, 2020

Revised: October 24, 2020

Accepted: October 24, 2020

Published: December 24, 2020

Abstract

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, green

Pubmed Style

Bhavesh Shelke, Rafique Umer Harvitkar, Abhijit Joshi. A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. EJMCR. 2020; 24 (December 2020): 436-440. doi:10.24911/ejmcr/173-1593452186

Web Style

Bhavesh Shelke, Rafique Umer Harvitkar, Abhijit Joshi. A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. https://ejmcr.com/articles/1366 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1593452186

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Bhavesh Shelke, Rafique Umer Harvitkar, Abhijit Joshi. A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. EJMCR. (2020), [cited December 25, 2024]; 24 (December 2020): 436-440. doi:10.24911/ejmcr/173-1593452186

Harvard Style

Bhavesh Shelke, Rafique Umer Harvitkar, Abhijit Joshi (2020) A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. EJMCR, 24 (December 2020): 436-440. doi:10.24911/ejmcr/173-1593452186

Chicago Style

Bhavesh Shelke, Rafique Umer Harvitkar, Abhijit Joshi. "A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management." 24 (2020), 436-440. doi:10.24911/ejmcr/173-1593452186

MLA (The Modern Language Association) Style

Bhavesh Shelke, Rafique Umer Harvitkar, Abhijit Joshi. "A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management." 24.December 2020 (2020), 436-440. Print. doi:10.24911/ejmcr/173-1593452186

APA (American Psychological Association) Style

Bhavesh Shelke, Rafique Umer Harvitkar, Abhijit Joshi (2020) A rare case of acute small bowel obstruction in immediate postpartum period: laparoscopic management. , 24 (December 2020), 436-440. doi:10.24911/ejmcr/173-1593452186