title: Uterine rotation: a cause of intestinal obstruction.
abstract: Intestinal obstruction is an uncommon surgical emergency during pregnancy that affects seriously the prognosis of gestation. The underlying cause can be identified in the majority of cases and usually consists of adhesions secondary to previous abdominal or pelvic surgery, followed in order of frequency by intestinal volvuli. In recent years there have been no reports in which the gravid uterus has been the cause of intestinal obstruction. We report the case of a woman in week 33 + 4 of pregnancy who developed extrinsic compression of the colon secondary to uterine rotation and pelvic impaction of the head of the fetus.
authors.affiliation: Obstetrics and Gynecology Department, University Hospital Carlos Haya, Málaga, Spain ; Málaga Research Group in Obstetrics and Gynecology, Biomedical Research Institute of Málaga (IBIMA), Spain ; Servicio de Obstetricia y Ginecología, Hospital Materno Infantil, Arroyo de los Angeles Avenida s/n, 29006 Málaga, Spain.
authors.forename: Ernesto
authors.initials: E
authors.lastname: González-Mesa
authors.forename: Isidoro
authors.initials: I
authors.lastname: Narbona
authors.forename: Isaac
authors.initials: I
authors.lastname: Cohen
authors.forename: Emilia
authors.initials: E
authors.lastname: Villegas
authors.forename: Celia
authors.initials: C
authors.lastname: Cuenca