Journal of Genital System & DisordersISSN: 2325-9728

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Case Report, J Genit Syst Disor Vol: 3 Issue: 2

Right Upper Quadrant Pain at 34 weeks Pregnancy: An Unusual Presentation of Acute Cecal Volvulus

Finnegan T1*, Anderson K1, Jackson J2, Castaneda M3 and Brickman L1
1Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, Florida, USA
2Nova Southeastern University College of Osteopathic Medicine, USA
3Department of Obstetrics and Gynecology, Bethesda Memorial Hospital, Boynton Beach, Florida, USA
Corresponding author : Timothy M Finnegan
Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, FL, USA
E-mail: [email protected]
Received: May 07, 2014 Accepted: July 31, 2014 Published: August 11, 2014
Citation: Finnegan T, Anderson K, Jackson J, Castaneda M, Brickman L (2014) Right Upper Quadrant Pain at 34 weeks Pregnancy: An Unusual Presentation of Acute Cecal Volvulus. J Genit Syst Disor 3:2. doi:10.4172/2325-9728.1000124

Abstract

Right Upper Quadrant Painat 34 weeks Pregnancy: An Unusual Presentation of Acute Cecal Volvulus

Intestinal obstruction during pregnancy carries significant fetal and maternal mortality. Cecal volvulus is an uncommon cause of bowel obstruction during pregnancy occurring when a poorly fixed cecum axially rotates or folds resulting in strangulation and ischemia. Without surgical intervention, cecal volvulus can lead to peritonitis, septic shock and ultimately death. Vague clinical symptoms, apprehension toward the use of radiographic studies in pregnancy and poor recognition of this condition often delay the diagnosis of cecal volvulus in this patient population. We present a case of acute cecal volvulus in a 19-year-old, pregnant female with right upper quadrant pain successfully managed with caesarian section delivery and right hemicolectomy.

Keywords: Acute cecal volvulus; Right upper quadrant pain; Hemicolectomy

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