title: Intestinal malrotation complicated by an occlusive syndrome involving internal hernia in a pregnant woman.
abstract: We present the case of a 33-year-old female who presented intestinal obstruction at the 7th month of pregnancy. She was complaining of abdominal pain with paroxysms, nausea and vomiting. When the symptoms worsened, we performed a CT-scan, which revealed suspected intestinal obstruction in a context of intestinal malrotation (IM). Conservative therapy failed and she required emergency laparotomy beginning with a caesarean section. The surgery revealed a peritoneal defect due to the IM through which the jejunum and ileum were incarcerated and strangulated. The incarcerated bowel was reduced and intestinal colour quickly returned to normal. Primary closure of the peritoneal defect was thus performed and the post-operative course was uneventful for the mother and the baby, who was admitted to the neonatal intensive care unit.
authors.affiliation: Service de Gynecologie-Obstetrique et Médecine de la Reproduction, CHU de Dijon, Dijon, France, joyeuxemi@gmail.com.
authors.forename: Emilie
authors.initials: E
authors.lastname: Joyeux
authors.affiliation: Service de Gynecologie-Obstetrique et Médecine de la Reproduction, CHU de Dijon, Dijon, France.
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Gobenceaux
authors.affiliation: Service de Gynécologie-Obstétrique, CH Auxerre, Auxerre, France.
authors.forename: Théophile
authors.initials: T
authors.lastname: Hoyek
authors.affiliation: Service de Gynécologie-Obstétrique, CH Auxerre, Auxerre, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Dellinger
authors.affiliation: Service de Gynecologie-Obstetrique et Médecine de la Reproduction, CHU de Dijon, Dijon, France.
authors.forename: Paul
authors.initials: P
authors.lastname: Sagot