Obstrução intestinal por brida em gestante: Relato de Caso

• Autor(a) principal: Cordeiro, Kathelyn Ferreira
• Data de Publicação: 2012
• Outros Autores: Silva, Nathália Ney, e Silva, Luiz Felipe Rabello
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/88

The acute abdomen is characterized by abdominal pain, of sudden or progressive and variable intensity. Its incidence in pregnancy is located around one case per 600 pregnancies. Among the non-obstetric causes, intestinal obstruction ranks third among the most prevalent, accounting for the higher mortality rate in this group of patients. The maternal mortality rate can reach 10-20% and the fetal 26% fetal. Objective: To report a case of intestinal obstruction because of adhesions in a pregnant women. Description: The authors report the case of a pregnant woman 34 year old in the third trimester of pregnancy, who was hospitalized with a severe abdominal pain associated with nausea, vomiting, fainting and constipation. After 7 days of hospitalization, the patient developed complete bowel obstruction. In this case, the patient had undergone apendicectomia 1 year and 5 months ago old. Her laboratory examinatios were. She presented with changes: WBC: 11,300/mm3; Bats: 4%; Segmented: 79%, PCR: 168.2 mg/dl; Plain radiograph of the abdomen: fluid levels in distended loops of small intestine. Conclusion: This case demonstrates the importance of considering non-obstetric causes in the differential diagnosis of abdominal pain in pregnant women.