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
