Annals of Case Reports and Clinical Studies | Volume 2, Issue 1 | Case Report | Open Access
Department of Obstetrics and Gynecology, King Saud Medical City, Riyadh, Saudi Arabia
*Correspondence to: Nawal AlharbiFulltext PDF
This is a rare case of mechanical small bowel obstruction caused by multiple sub-serous uterine fibroids in a 40-year-old primigravida at 32 weeks’ gestation, with no history of prior surgeries. The patient developed severe hypovolemia, electrolyte imbalance, and severe lactic acidosis, she was resuscitated and intubated, then the emergency cesarean section with exploration laparotomy was done which revealed bowel ischemia, however, no bowel resection was done as the bowel was not necrotic, and myomectomy was done during the operation to relieve the bowel obstruction. Postoperative she was still hypotensive supported by 2 inotropic, lactic acidosis due to bowel ischemia (dusky bowel) which was not improving by conventional management, however, she improved dramatically after intravenous administration of thiamin therapy.
Intestinal obstruction during pregnancy must be considered in cases of uterine fibroid during pregnancy as the delayed diagnosis can lead to serious morbidity and mortality.
Acute intestinal obstruction; Pregnancy; Uterine leiomyoma; Myomectomy during CS; Lactic acidosis; Thiamine therapy
Nawal Alharbi, Hala Abdelmomen, Samah Mohamed.Rare Complication of Uterine Fibroid during Pregnancy Threatened a Primigravida Life a Case Report.Ann Case RepClinStud.2023;2(1):1-7.