CASE OF ACUTE INTESTINAL OBSTRUCTION IN A PREGNANT WOMAN

Abstract

The paper presents a case of diagnosis and surgical treatment of a 36-year-old woman with acute adhesive intestinal obstruction during the pregnancy for a period of 31-32 weeks. After conservative treatment methods turned to be ineffective, it was decided, along with obstetrician-gynecologists, to eliminate the causes of intestinal obstruction surgically without interruption of the pregnancy or interventions on the uterus. The procedure was performed with great technical difficulties, due to the large size of the uterus filling the entire abdominal cavity. In the postoperative period, the patient developed symptoms of peritonitis. Due to this, she was taken to a second laparotomy on the third day. Cesarean section, supra-vaginal amputation of the uterus with appendages was performed. Closed nasal-intestinal intubation of the small intestine with sanitation and drainage of the abdominal cavity was made. The child has died on the first day after the surgery. The postoperative period was severe, but the patient had recovered. She was discharged from hospital in satisfactory condition on the 17th day after the operation.