Abstract
We report herein on 2 cases of strangulated small bowel obstruction during pregnancy with literature review of 58 cases in Japan. Case 1: A 34-year-old woman in her 29th week of pregnancy visited our hospital with the chief complaints of acute abdominal pain and vomiting and was admitted with suspected small bowel obstruction due to fecal impaction. After admission, her symptoms increased and cardiotocography showed late deceleration. We therefore performed an emergency Caesarean section. Intraoperatively, necrotic small bowel was detected and resected. Case 2: A 39-year-old woman in her 38th week of pregnancy was transferred to our hospital with the chief complaint of acute abdominal pain. An abdominal CT showed small bowel dilation with the beak sign. We performed a Caesarean section under the definitive diagnosis of strangulated small bowel obstruction. As the strangulated bowel was not necrotic in this case, we did not perform resection.
