Reduced Port Surgery for a Pregnant Woman With Strangulated Small Bowel Obstruction: A Case Report

被引:0
作者
Morimoto, Yoshihiro [1 ]
Takahashi, Hidekazu [1 ]
Kobayashi, Teruyuki [1 ]
Miyoshi, Norikatsu [1 ]
Haraguchi, Naotsugu [1 ]
Nishimura, Junichi [1 ]
Hata, Taishi [1 ]
Matsuda, Chu [1 ]
Mizushima, Tsunekazu [1 ,2 ]
Yamamoto, Hirofumi [1 ]
Doki, Yuichiro [1 ]
Mori, Masaki [1 ]
机构
[1] Osaka Univ, Grad Sch Med, Dept Gastroenterol Surg, Osaka, Japan
[2] Osaka Univ, Grad Sch Med, Dept Therapeut Inflammatory Bowel Dis, Osaka, Japan
关键词
Pregnant woman; Reduced port surgery; Small bowel obstruction;
D O I
10.9738/INTSURG-D-17-00129.1
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Intestinal obstruction in pregnancy is very rare, but the maternal mortality rate and the fetal loss rate are high. Therefore, an early diagnosis and appropriate treatments for small bowel obstructions (SBOs) during pregnancy are crucial for the mothers and fetuses. On the other hand, laparoscopic surgeries are widely used in pregnant patients, although laparoscopic surgeries for SBOs can have higher risks of complications. Then, reduced port surgery (RPS) can reduce the risk of intestinal injury by minimizing the number of ports the operator could not control alone. There is no previous report of RPS for SBOs in pregnant patients. We report on a pregnant patient with a strangulated SBO treated with RPS without complications. Case presentation: A 37-year-old Japanese pregnant woman complaining of severe abdominal pain was admitted by ambulance. Her gestational age was 9 weeks. Her medical history included surgery for acute perforated appendicitis and deep vein thrombosis due to anti-thrombin III deficiency. Abdominal computed tomography revealed a strangulated SBO. We performed RPS and the cause of strangulated SBO was a string at the postoperative site of the appendectomy. The ischemic region of the small bowel recovered after we cut the string and released the adhesion. The patient's postoperative course was uneventful and the fetus was not harmed. Conclusion: This is the first report of RPS performed for the pregnant patient with the strangulated SBO. Our findings indicate that RPS is a feasible treatment for strangulated SBOs in pregnant women.
引用
收藏
页码:251 / 254
页数:4
相关论文
共 13 条
  • [1] Laparoscopic Surgery for Adhesive Small Bowel Obstruction Is Associated With a Higher Risk of Bowel Injury A Population-based Analysis of 8584 Patients
    Behman, Ramy
    Nathens, Avery B.
    Byrne, James P.
    Mason, Stephanie
    Hong, Nicole Look
    Karanicolas, Paul J.
    [J]. ANNALS OF SURGERY, 2017, 266 (03) : 489 - 498
  • [2] Biswas S, 2006, AM SURGEON, V72, P1218
  • [3] Clinical outcomes compared between laparoscopic and open appendectomy in pregnant women
    Chung, Jun Chul
    Cho, Gyu Seok
    Shin, Eung Jin
    Kim, Hyung Chul
    Song, Ok Pyung
    [J]. CANADIAN JOURNAL OF SURGERY, 2013, 56 (05) : 341 - 346
  • [4] Gastroenterological surgery in Japan: The past, the present and the future
    Colvin, Hugh
    Mizushima, Tsunekazu
    Eguchi, Hidetoshi
    Takiguchi, Shuji
    Doki, Yuichiro
    Mori, Masaki
    [J]. ANNALS OF GASTROENTEROLOGICAL SURGERY, 2017, 1 (01): : 5 - 10
  • [5] Laparoscopic appendectomy and cholecystectomy versus open: a study in 1999 pregnant patients
    Cox, T. C.
    Huntington, C. R.
    Blair, L. J.
    Prasad, T.
    Lincourt, A. E.
    Augenstein, V. A.
    Heniford, B. T.
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2016, 30 (02): : 593 - 602
  • [6] Daimon A, 2016, CASE REP OBSTET GYNE
  • [7] Clinical significance of single-port laparoscopic splenectomy: comparison of single-port and multiport laparoscopic procedure
    Han, Eui Soo
    You, Young Kyoung
    Kim, Dong Goo
    Lee, Jun Suh
    Kim, Eun Young
    Lee, Soo Ho
    Hong, Tae Ho
    Na, Gun Hyung
    [J]. ANNALS OF SURGICAL TREATMENT AND RESEARCH, 2015, 89 (02) : 55 - 60
  • [8] Evaluation of invasiveness in single-site laparoscopic colectomy, using "the PainVision™ system" for quantitative analysis of pain sensation
    Hiraki, Masayuki
    Takemasa, Ichiro
    Uemura, Mamoru
    Haraguchi, Naotsugu
    Nishimura, Junichi
    Hata, Taishi
    Mizushima, Tsunekazu
    Yamamoto, Hirofumi
    Doki, Yuichiro
    Mori, Masaki
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2014, 28 (11): : 3216 - 3223
  • [9] Short-term and long-term outcomes of single-incision versus multi-incision laparoscopic resection for colorectal cancer: a propensity-score-matched analysis of 214 cases
    Katsuno, Goutaro
    Fukunaga, Masaki
    Nagakari, Kunihiko
    Yoshikawa, Seichiro
    Azuma, Daisuke
    Kohama, Shintaro
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2016, 30 (04): : 1317 - 1325
  • [10] Laparoscopic versus open adhesiolysis in patients with adhesive small bowel obstruction: a systematic review and meta-analysis
    Li, Ming-Zhe
    Lian, Lei
    Xiao, Long-bin
    Wu, Wen-hui
    He, Yu-long
    Song, Xin-ming
    [J]. AMERICAN JOURNAL OF SURGERY, 2012, 204 (05) : 779 - 786