title: Precipitous decline of gravid patient with congenital small bowel malrotation.
abstract: Congenital small bowel malrotation is an uncommon cause of ischemic bowel. There are only a few case reports highlighting this condition in gravid patients. We report a 33-year-old primigravida at 27 weeks who presented to the emergency department with diffuse abdominal pain. Although initially stable, she experienced a rapid calamitous decline. On laparatomy she was diagnosed with congenital small bowel malrotation. Intraabdominal catastrophes must always be considered as a possible etiology of nonobstetrical abdominal pain in pregnant women.
authors.affiliation: Department of Emergency Medicine, St Paul's Hospital, Vancouver, Canada BC V6Z 1Y6. frank.scheuermeyer@gmail.com
authors.forename: Frank
authors.initials: F
authors.lastname: Scheuermeyer
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D005313:Fetal Death; D006801:Humans; D007415:Intestinal Obstruction / Q000151:congenital* / Q000175:diagnosis* / Q000601:surgery; D007421:Intestine, Small / Q000002:abnormalities*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000601:surgery