title: Spontaneous small bowel obstruction associated with a spontaneous triplet gestation. A case report.
abstract: Spontaneous bowel obstruction in pregnancy is a rare event and usually associated with a prior history of surgical procedures or infection. Its symptoms can mimic physiologic changes in pregnancy or preterm labor. We treated a woman who had a triplet gestation and whose lack of predisposing factors delayed the diagnosis of obstruction. The patient delivered prematurely at 22 weeks and required surgery to alleviate the obstruction. The possibility of intestinal obstruction should be entertained in any pregnant woman presenting with nausea, vomiting and an overdistended uterus.
authors.affiliation: Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, Philadelphia 19104.
authors.forename: J
authors.initials: J
authors.lastname: Ludmir
authors.forename: P
authors.initials: P
authors.lastname: Samuels
authors.forename: B A
authors.initials: BA
authors.lastname: Armson
authors.forename: M H
authors.initials: MH
authors.lastname: Torosian
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications* / Q000601:surgery; D007421:Intestine, Small / Q000601:surgery; D011247:Pregnancy; D011272:Pregnancy, Multiple; D013997:Time Factors; D014310:Triplets