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Abstract

RÉSUMÉ
L’occlusion intestinale aigüe est une urgence chirurgicale, dont le diagnostic qui est plutôt aisé en situation courante repose essentiellement sur les signes cliniques. Cependant, reconnaitre un syndrome occlusif peut s’avérer être un exercice périlleux en cas de grossesse, surtout lorsque le terme est avancé, nécessitant une exploration para clinique. Nous rapportons le cas d’une occlusion grêlique sur bride à 36 SA chez une patiente avec antécédent de salpingectomie par laparotomie. Le diagnostic a été posé par un faisceau d’arguments cliniques et un scanner abdominal. Une laparotomie médiane sous ombilicale concomitante à une césarienne a permis l’extraction fœtale suivie de la résection de la bride. L’évolution a été favorable pour la mère dont le transit a été rétabli dans les suites opératoires précoces, et son nouveau-né qui n’a pas nécessité de réanimation périnatale.


ABSTRACT
Acute intestinal obstruction is a surgical emergency, the diagnosis of which is relatively straightforward in everyday situations, based essentially on clinical signs. However, recognizing an occlusive syndrome can be a perilous exercise in pregnancy, especially when the term is advanced, requiring para-clinical exploration. We report the case of a bowel obstruction on a flange at 36 days' gestation in a patient with a history of salpingectomy by laparotomy. The diagnosis was made on the basis of clinical evidence and an abdominal CT scan. A median subumbilical laparotomy concomitant with a caesarean section enabled fetal extraction followed by resection of the flange. The outcome was favourable for the mother, whose transit was restored in the early postoperative period, and her newborn, who did not require perinatal resuscitation.

Keywords

management, emergency, occlusion, small, flange, pregnancy prise en charge, urgence, occlusion, grêle, bride, grossesse

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How to Cite
Astrid Ruth Ndolo Kondo, Michèle Florence Mendoua, Gervais Mounchikpou Ngouhouoh, Gaspard Gregory Ayissi Nga, Boris Bob Abessolo, Junette Metogo Njoki, & Charlotte Tchente Nguefack. (2024). Acute Small Bowel Obstruction Due to Flange in a Full-Term Pregnant Woman: A Case Report: Occlusion Aigüe du Grêle sur Bride chez une Gestante à Terme : À Propos d’un Cas. HEALTH SCIENCES AND DISEASE, 25(12). https://doi.org/10.5281/hsd.v25i12.6230
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