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Case Reports in Surgery
Volume 2015, Article ID 870437, 3 pages
http://dx.doi.org/10.1155/2015/870437
Case Report

Reversed Intestinal Rotation Presented as Bowel Obstruction in a Pregnant Woman

Department of Surgery, Rabin Medical Center, Beilinson Hospital, 39 Jabotinsky Street, 49100 Petah Tikva, Israel

Received 7 March 2015; Accepted 26 April 2015

Academic Editor: Fernando Turégano

Copyright © 2015 David Aranovich and Ilan Schrier. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A rare case of complete large bowel obstruction in a pregnant woman, without previous surgical history, due to previously undiagnosed reversed intestinal rotation is presented. The young woman was admitted with progressive nausea and vomiting which did not respond to conventional therapy. Her plain abdominal film revealed signs of small bowel obstruction. On laparotomy, her transverse colon was found to be located beneath the root of small bowel mesentery and completely obstructed by congenital fibrous bands. Postoperative recovery was unremarkable. Surgery for this unusual developmental anomaly is discussed.