Intussusception in gravida

Discussion:

The woman was rushed to the OR for exploratory laparotomy. The surgical report was as follows: "Intussusception of a long segment of jejunum, at least 50 cm in length. Following its release, an ischemic segment was revealed with a hemorrhagic wall and abscence of pulse. In addition, a large 3-cm polyp was palpated in the proximal bowel. Moderate amount of serotic fluid in the abdominal cavity. Proximal small bowel markedly dilated, up to 5-6 cm. [...] 70 cm of jejunum excised. End-to-end anastomosis. [...] Small incision over jejunal polyp and excision of polyp with long stalk."

As bowel ischemia requires emergent surgery, abdominal CT can be justified in pregnancy. Of note, the hospital did not have an MRI machine at the time.

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