Title : Unsual case of acute intussusception in a pregnant woman
Abstract:
Acute intussusception in adults is rare and is exceptional in pregnant women. The diagnosis is often difficult seen the non-specific presenting symptoms which may be attributed to the pregnancy itself. In adults, such intussusceptions are mainly secondary to an intestinal disease and frequently a tumor. Its incidence ranges from0.067% to 0.0015% (Choi et al., 2005). When it happens, however, it causes considerable morbidity and mortality for the pregnant woman and the fetus.
A 21-year-old pregnant woman at nine weeks of gestation, gravida one para one, without medical history, was admitted with sudden start, permanent and paroxysmal pelvic pain two days prior to admission associatedwith rectorrhagia. She denied anymetrorrhagia, nausea, vomit, constipation or fever. The abdominopelvic ultrasound examination found an evolutive pregnancy at nine weeks of gestation with adnexal mass with ring of fire sign and a small amount of fluid in the cul-de-sac. An emergency surgery was performed by laparoscopy. Histology of the resected bowel segment ileocecal intussusceptions without evidence of malignancy.
In summary, intussusception in pregnancy is a rare condition. The combined expertise of the obstetrician, radiologist, and surgeon are needed to manage the pregnant patient.
